NPI 1205416732

Proactive MD Nm, LLC

Organisation Primary Care Clinic/Center Artesia, NM

Practice location

Address: 1107 E. Main St., Artesia, NM 88210
Phone: (864) 501-0751
Mailing address: 10 Centimeters Dr, Mauldin, SC 29662-3278

Authorised official

Name: Jan Hopkins
Title: Assoc. Operations Manager
Phone: (864) 501-0751

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1205416732
Entity type: Organization
NPI issued: 9 Apr 2021
Record last updated: 9 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.