Organization
PROACTIVE MD SC,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KEMBLE MD (EVP OF MEDICAL AFFAIRS)
(864) 501-0751
Entity
Organization
Contact information
Practice address
245 PARKWAY E, DUNCAN, SC 29334-9489
(864) 501-0751
Mailing address
10 CENTIMETERS DR, MAULDIN, SC 29662-3278
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/08/2025
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