Organization
PROACTIVE MD SC,P.A.
Active
Other names
Proactive MD Town of Mt. Pleasant N. Charleston Health Center, PROACTIVE MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KEMBLE MD (CMO)
(864) 501-0751
Entity
Organization
Contact information
Practice address
3520 W MONTAGUE AVE, N CHARLESTON, SC 29418-6099
(843) 885-4900
Mailing address
124 ALLAWOOD CT., ALLAWOOD CT, SIMPSONVILLE, SC 29681
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
04/08/2025
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