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Organization

PROACTIVE MD,SC,P.A.

Active
Other names
CNMB Employee 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
1120 2ND AVE S # B, NORTH MYRTLE BEACH, SC 29582-3108
(864) 501-0751
Mailing address
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681-6207
(864) 501-0751
(864) 990-3834

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/25/2024
Last updated
04/03/2025
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