Organization
PROACTIVE MD,SC,P.A.
Active
Parent organization
PROACTIVE MD,SC,P.A.
Other names
PROACTIVE MD, Proactive MD Mauldin Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROACTIVE MD,SC,P.A.
Authorized official
MARK ALLEN KEMBLE MD (CMO)
(864) 501-0751
Entity
Organization
Contact information
Practice address
787 E BUTLER RD STE B, MAULDIN, SC 29662-3276
(864) 501-0751
Mailing address
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681-6207
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
04/03/2025
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