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1316663834
PROACTIVE MD SC,P.A.
GEORGETOWN, SC
NPI
1316663834
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Entity Type
Organization
Authorized Contact
MARK ALLEN KEMBLE
Cmo
864-501-0751
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2022-10-17
Last Update Date
2025-04-03
Business Address
PROACTIVE MD SC,P.A.
1745 N FRASER ST
GEORGETOWN, SC 29440-6407
Phone number: 843-932-9320
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Mailing Address
PROACTIVE MD SC,P.A.
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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