Organization
PROACTIVE MD MS LLC
Active
Organization
PROACTIVE MD MS LLC
Active
Other names
Proactive MD, Proactive MD CFI Yazoo City Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KEMBLE MD (CHIEF MEDICAL OFFICER)
(864) 640-8355
Entity
Organization
Contact information
Practice address
4608 HIGHWAY 49 E, YAZOO CITY, MS 39194-2318
(662) 590-0999
Mailing address
86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
(864) 640-8355
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
08/31/2026
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