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Proactive Md Ms Llc
Primary Care Clinic/Center in Ecru, Mississippi
NPI 1740042563

Proactive Md Ms Llc is a Primary Care Clinic/Center based in Simpsonville, MS and is specialized in Primary Care. Proactive Md Ms Llc practices in Ecru, MS. The NPI Number for Proactive Md Ms Llc is 1740042563 and holds a License No. (Mississippi).

The current practice location address for Proactive Md Ms Llc is 6543 Ms-15, Ecru, MS and can be reached out via phone at 662-489-2669.

Location: 6543 Ms-15, Ecru, MS, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740042563
Provider Name
Proactive Md Ms Llc
Credential
Provider Entity Type
Organization
Address
6543 Ms-15, Ecru, MS, 29681-6207
Phone Number
662-489-2669
Fax Number
Provider Enumeration Date
01/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6543 Ms-15
City
Ecru
State
Mississippi
Zip
38841
Phone Number
662-489-2669
Fax Number
person
Provider Business Mailing Address Details
Address
6543 Ms-15
City
Ecru
State
Mississippi
Zip
38841
Phone Number
662-489-2669
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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