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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) 501-0751
Entity
Organization

Contact information

Practice address
2273 HAYNE ST., SPARTANBURG, SC 29301
(864) 541-0555
(864) 345-7898
Mailing address
10 CENTIMETERS DR, MAULDIN, SC 29662-3278

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
04/03/2025
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