Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Montezuma, IN
NPI number
1508319393
Active
Practice location
617 E Strawberry Rd
Montezuma, IN 47862-8116
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...
About NPI 1508319393
Proactive Mso, LLC's National Provider Identifier is 1508319393, issued on Jul 27, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Montezuma, IN. The record was last updated on Sep 15, 2026.