Proactive Md,sc,p.a.
NPI #1235773979 in Mauldin, South Carolina
Provider Information
- NPI Number
- 1235773979
- Entity Type
- Organization
- Organization Name
- Proactive Md,sc,p.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROACTIVE MD,SC,P.A.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 6, 2019
- Last Updated
- Apr 3, 2025
Practice Location
- Address
- 787 E BUTLER RD STE B
- City
- Mauldin
- State
- South Carolina
- ZIP Code
- 29662-3276
- Phone
- (864) 501-0751
Authorized Official
- Name
- MARK ALLEN KEMBLE, MD
- Title
- CMO
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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