| NPI | 1902474000 |
|---|---|
| Doing Business As | PROACTIVE MD CFI YAZOO CITY HEALTH CENTER |
| Doing Business As | PROACTIVE MD |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN KEMBLE Chief Medical Officer 864-640-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-06-29 |