# PROACTIVE MD NC, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proactive MD Cumberland County Employee Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578200028
- **Authorized official:** MARK ALLEN KEMBLE MD (CMO)
- **Authorized official phone:** (864) 640-8355

## Contact information

- **Practice address:** 226 BRADFORD AVE, FAYETTEVILLE, NC 28301-5404
- **Practice address phone:** (910) 433-3847
- **Practice address fax:** (910) 912-9102
- **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:** 05/17/2022
- **Last updated:** 08/25/2026