Proactive MD La a
NPI #1235898917 in Donaldsonville, Louisiana
Provider Information
- NPI Number
- 1235898917
- Entity Type
- Organization
- Organization Name
- Proactive MD La a
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 10, 2021
- Last Updated
- Dec 10, 2021
Practice Location
- Address
- 39018 HWY 3089
- Address 2
- HEALTH CENTER
- City
- Donaldsonville
- State
- Louisiana
- ZIP Code
- 70346
- Phone
- (225) 725-2005
Authorized Official
- Name
- JAN HOPKINS
- Title
- ASSOC. OPS. MGR.
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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