# PROACTIVE MD NC, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proactive MD - Brakebush Health Center - Mocksville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154036713
- **Authorized official:** MARK ALLEN KEMBLE MD (CMO)
- **Authorized official phone:** (864) 640-8355

## Contact information

- **Practice address:** 251 EATON RD, MOCKSVILLE, NC 27028-8653
- **Practice address phone:** (864) 501-0751
- **Mailing address:** 86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
- **Mailing address phone:** (864) 640-8355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 08/31/2026