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1073171336
PROACTIVE MD SC,P.A.
SPARTANBURG, SC
NPI
1073171336
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Entity Type
Organization
Authorized Contact
MARK ALLEN KEMBLE
EVP Medical Affairs
864-907-8412
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
PROACTIVE MD SC,P.A.
801 UNION ST
SPARTANBURG, SC 29302-2734
Phone number: 864-596-2872
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Mailing Address
PROACTIVE MD SC,P.A.
10 CENTIMETERS DR
MAULDIN, SC 29662-3278
Phone number: 864-501-0751
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