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Organization
PROACTIVE MD NC, PC
Active
Organization
PROACTIVE MD NC, PC
Active
Other names
Lee Industries Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEMBLE MD (CMO)
(864) 640-8355
Entity
Organization
Contact information
Practice address
1220 COMMERCE ST SW STE J, CONOVER, NC 28613-8257
(828) 282-2280
(828) 282-2278
Mailing address
86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
(864) 640-8355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831661917
PROVIDER NPI
IN
Enumeration date
11/05/2020
Last updated
08/31/2026
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