Proactive MD Tn PC
NPI #1073375242 in Clinton, Tennessee
Provider Information
- NPI Number
- 1073375242
- Entity Type
- Organization
- Organization Name
- Proactive MD Tn PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 24, 2024
- Last Updated
- Nov 22, 2024
Practice Location
Authorized Official
- Name
- JODY ADDAIR
- Title
- CLINICAL OPS PROJECT COORDINATOR
- Phone
- (317) 556-0017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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