PROACTIVE MD PENN PC

SIMPSONVILLE, SC
NPI1326612763
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Cmo
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2021-05-19
Last Update Date2025-04-10
Business Address
PROACTIVE MD PENN PC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD PENN PC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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