Organization · Type 2 NPI

Proactive Wellnessnp

Multi-Specialty Clinic/Center · Columbia, MD

NPI number 1124704085 Active

Practice location

12114 Blue Flag Way
Columbia, MD 21044

Call (301) 741-0307 Map

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Recovery Care Clinic/Center 261QR0800XNone listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Other multi-specialty clinic/center providers in Columbia

See all in Columbia →

About NPI 1124704085

Proactive Wellnessnp's National Provider Identifier is 1124704085, issued on Jun 26, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Columbia, MD. The record was last updated on Dec 6, 2023.