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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROACTIVE MD MS LLC

Active Organization

PROACTIVE MD MS LLC is a Primary Care Clinic organization located in ECRU, Mississippi. NPI 1740042563 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · ECRU, MS

Registration Details

NPI Number
1740042563
Provider Type
Organization
NPI Issued
Jan 26, 2024 (2.5811018175149 yrs)
Last Updated
Jan 27, 2025

Practice Information

Address
6543 MS-15
ECRU, MS, 38841
Browse MS providers · Browse ZIP 38841
Phone
6624892669
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.