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Organization
PROACTIVE MD SC,P.A.
Active
Organization
PROACTIVE MD SC,P.A.
Active
Other names
Proactive MD Tindall Spartanburg Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KEMBLE MD (CMO)
(864) 640-8355
Entity
Organization
Contact information
Practice address
2273 HAYNE ST., SPARTANBURG, SC 29301
(864) 541-0555
(864) 345-7898
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
Enumeration date
10/01/2020
Last updated
09/22/2026
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