NPI 1073171336

Proactive MD Sc,p.A.

Organisation Family Medicine Physician Spartanburg, SC

Practice location

Address: 801 Union St, Spartanburg, SC 29302-2734
Phone: (864) 596-2872
Fax: (864) 336-2948
Mailing address: 10 Centimeters Dr, Mauldin, SC 29662-3278

Authorised official

Name: Mark Allen Kemble
Title: Evp Medical Affairs
Phone: (864) 907-8412

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in South Carolina →

Registry record

NPI: 1073171336
Entity type: Organization
NPI issued: 3 Jun 2019
Record last updated: 3 Jun 2019

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.