PROACTIVE MD TX PROFESSIONAL CORPORATION

SIMPSONVILLE, SC
NPI1861175697
Entity TypeOrganization
Authorized ContactMARK KEMBLE
Cmo
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2023-08-09
Last Update Date2025-04-10
Business Address
PROACTIVE MD TX PROFESSIONAL CORPORATION
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
Mailing Address
PROACTIVE MD TX PROFESSIONAL CORPORATION
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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