PROACTIVE MD NM, LLC

GREENVILLE, SC
NPI1700465002
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Cmo
864-640-8355
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-04-05
Last Update Date2026-08-24
Business Address
PROACTIVE MD NM, LLC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
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
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