PROACTIVE MD KY PSC

GREENVILLE, SC
NPI1609452929
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Cmo
864-640-8355
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2021-03-18
Last Update Date2026-01-27
Business Address
PROACTIVE MD KY PSC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD KY PSC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
Phone number: 864-501-0751
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