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Proactive Md La A
Primary Care Clinic/Center in Simpsonville, South Carolina
NPI 1447901392

Proactive Md La A is a Primary Care Clinic/Center based in Simpsonville, SC and is specialized in Primary Care. Proactive Md La A practices in Simpsonville, SC. The NPI Number for Proactive Md La A is 1447901392 and holds a License No. (South Carolina).

The current practice location address for Proactive Md La A is 124 Allawood Ct, Simpsonville, SC and can be reached out via phone at 864-501-0751. You can also correspond with Proactive Md La A through the mailing address at 124 ALLAWOOD CT, SIMPSONVILLE, SC - 29681-6207 (mailing address contact number: 864-501-0751).

Location: 124 Allawood Ct, Simpsonville, SC, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447901392
Provider Name
Proactive Md La A
Credential
Provider Entity Type
Organization
Address
124 Allawood Ct, Simpsonville, SC, 29681-6207
Phone Number
864-501-0751
Fax Number
Provider Enumeration Date
01/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
124 Allawood Ct
City
Simpsonville
State
South Carolina
Zip
29681-6207
Phone Number
864-501-0751
Fax Number
person
Provider Business Mailing Address Details
Address
124 Allawood Ct
City
Simpsonville
State
South Carolina
Zip
29681-6207
Phone Number
864-501-0751
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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