Organization · Type 2 NPI

Proactive MD la A

Primary Care Clinic/Center · Donaldsonville, LA

NPI number 1235898917 Active

Practice location

39018 Hwy 3089, Health Center
Donaldsonville, LA 70346

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1235898917

Proactive MD la A's National Provider Identifier is 1235898917, issued on Dec 10, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Donaldsonville, LA. The record was last updated on Aug 31, 2026.