Proactive MD Ms LLC
NPI #1902474000 in Yazoo City, Mississippi
Provider Information
- NPI Number
- 1902474000
- Entity Type
- Organization
- Organization Name
- Proactive MD Ms LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 15, 2021
- Last Updated
- Jun 15, 2021
Practice Location
- Address
- 4608 HIGHWAY 49 E
- City
- Yazoo City
- State
- Mississippi
- ZIP Code
- 39194-2318
- Phone
- (662) 590-0999
Authorized Official
- Name
- JAN HOPKINS
- Title
- ASSOC. OPERATIONS MANAGER
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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