Organization
PROACTIVE MD SC PA
Active
Other names
Proactive MD, Proactive MD Spartanburg Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KEMBLE (CMO)
(864) 501-0751
Entity
Organization
Contact information
Practice address
101 W SAINT JOHN ST STE 107, SPARTANBURG, SC 29306-5157
(864) 342-7070
(864) 573-5918
Mailing address
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681-6207
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
04/03/2025
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