Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Plymouth, IN
NPI number
1083250351
Active
Practice location
510 W Adams St Ste GL30
Plymouth, IN 46563-1784
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1083250351
Proactive Mso, LLC's National Provider Identifier is 1083250351, issued on Nov 21, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Plymouth, IN. The record was last updated on Sep 8, 2026.