| Proactive MD | |
|
4608 Highway 49 E Yazoo City MS 39194-2318 | |
| (662) 590-0999 | |
| Not Available |
| Full Name | Proactive MD |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4608 Highway 49 E, Yazoo City, Mississippi |
| Authorized Official Name and Position | Mark Allen Kemble (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8646408355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive MD 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Proactive MD 4608 Highway 49 E Yazoo City MS 39194-2318 Ph: (662) 590-0999 |
| NPI Number | 1902474000 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 08/31/2026 |
| Certification Date | 08/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902474000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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