Proactive MD Sc,p.a.
NPI #1184498628 in Columbia, South Carolina
Provider Information
- NPI Number
- 1184498628
- Entity Type
- Organization
- Organization Name
- Proactive MD Sc,p.a.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 14, 2023
- Last Updated
- Apr 3, 2025
Practice Location
- Address
- 131 WILDEWOOD PARK DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29223-4300
- Phone
- (803) 999-4030
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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