Organization
DOUGLAS WHITEHEAD MD PC
Active
Other names
Proactive MD SAIF
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEMBLE MD (CMO OF PRIMARY CARE)
(864) 501-0751
Entity
Organization
Contact information
Practice address
440 CHURCH ST SE STE 101, SALEM, OR 97301-4022
(864) 501-0751
Mailing address
86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
(864) 501-0751
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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