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Proactive Md Ms Llc
Primary Care Clinic/Center in Yazoo City, Mississippi
NPI 1902474000

Proactive Md Ms Llc is a Primary Care Clinic/Center based in Mauldin, MS and is specialized in Primary Care. Proactive Md Ms Llc practices in Yazoo City, MS. The NPI Number for Proactive Md Ms Llc is 1902474000 and holds a License No. (Mississippi).

The current practice location address for Proactive Md Ms Llc is 4608 Highway 49 E, Yazoo City, MS and can be reached out via phone at 662-590-0999.

Location: 4608 Highway 49 E, Yazoo City, MS, 29662-3278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902474000
Provider Name
Proactive Md Ms Llc
Credential
Provider Entity Type
Organization
Address
4608 Highway 49 E, Yazoo City, MS, 29662-3278
Phone Number
662-590-0999
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4608 Highway 49 E
City
Yazoo City
State
Mississippi
Zip
39194-2318
Phone Number
662-590-0999
Fax Number
person
Provider Business Mailing Address Details
Address
4608 Highway 49 E
City
Yazoo City
State
Mississippi
Zip
39194-2318
Phone Number
662-590-0999
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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