Organization · Type 2 NPI
Proactive Mso, LLC
Primary Care Clinic/Center · Morocco, IN
NPI number
1669129201
Active
Practice location
4117 S 240 W Ste 200
Morocco, IN 47963-8194
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 1669129201
Proactive Mso, LLC's National Provider Identifier is 1669129201, issued on Mar 3, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Morocco, IN. The record was last updated on Sep 15, 2026.