PROACTIVE MD NM, LLC

SANTA FE, NM
NPI1407500309
Doing Business AsPROACTIVE MD SONM SANTA FE HEALTH CENTER
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Chief Medical Officer
864-640-8355
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2022-02-09
Last Update Date2026-08-31
Business Address
PROACTIVE MD NM, LLC
1100 S SAINT FRANCIS DR STE 1000
SANTA FE, NM 87505-4147
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD NM, LLC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
Phone number: 864-640-8355