Proactive MD Sc,p.a.
NPI #1083433130 in Columbia, South Carolina
Provider Information
- NPI Number
- 1083433130
- Entity Type
- Organization
- Organization Name
- Proactive MD Sc,p.a.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Apr 3, 2025
Practice Location
- Address
- 4101 PERCIVAL RD
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29229-8320
- Phone
- (864) 501-0751
Authorized Official
- Name
- MARK ALLEN KEMBLE, MD
- Title
- CMO
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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