PROACTIVE MD GA, LLC

LAWRENCEVILLE, GA
NPI1780340117
Doing Business AsPROACTIVE MD MISSION TO THE WORLD HEALTH CENTER
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Chief Medical Officer
864-640-8355
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-11-10
Last Update Date2026-08-31
Business Address
PROACTIVE MD GA, LLC
1600 N BROWN RD
LAWRENCEVILLE, GA 30043-8141
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD GA, LLC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
Phone number: 864-640-8355