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Proactive Mso, Llc
Primary Care Clinic/Center in Madison, Indiana
NPI 1548713332

Proactive Mso, Llc is a Primary Care Clinic/Center based in Simpsonville, IN and is specialized in Primary Care. Proactive Mso, Llc practices in Madison, IN. The NPI Number for Proactive Mso, Llc is 1548713332 and holds a License No. (Indiana).

The current practice location address for Proactive Mso, Llc is 2580 Michigan Rd Ste 3, Madison, IN and can be reached out via phone at 812-801-8622. You can also correspond with Proactive Mso, Llc through the mailing address at 124 ALLAWOOD CT, SIMPSONVILLE, SC - 29681-6207 (mailing address contact number: 864-501-0751).

Location: 2580 Michigan Rd Ste 3, Madison, IN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548713332
Provider Name
Proactive Mso, Llc
Credential
Provider Entity Type
Organization
Address
2580 Michigan Rd Ste 3, Madison, IN, 29681-6207
Phone Number
812-801-8622
Fax Number
Provider Enumeration Date
07/27/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2580 Michigan Rd Ste 3
City
Madison
State
Indiana
Zip
47250-2492
Phone Number
812-801-8622
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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