PROACTIVE MD SC,P.A.

COLUMBIA, SC
NPI1184498628
Doing Business AsPROACTIVE MD
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Cmo
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2023-11-14
Last Update Date2025-04-03
Business Address
PROACTIVE MD SC,P.A.
131 WILDEWOOD PARK DR
COLUMBIA, SC 29223-4300
Phone number: 803-999-4030
Mailing Address
PROACTIVE MD SC,P.A.
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751