NPI 1033716253
Proactive MD Sc,p.A.
Practice location
- Address
- 2273 Hayne St., Spartanburg, SC 29301
- Phone
- (864) 541-0555
- Fax
- (864) 345-7898
- Mailing address
- 10 Centimeters Dr, Mauldin, SC 29662-3278
Authorised official
- Name
- Mark Allen Kemble
- Title
- Cmo
- Phone
- (864) 501-0751
Registered specialties (2)
Family Medicine Physician
Primary
Primary Care Clinic/Center
Registry record
- NPI
- 1033716253
- Entity type
- Organization
- NPI issued
- 1 Oct 2020
- Record last updated
- 3 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.