| Proactive Md Nc, Pc | |
|
1220 Commerce St Sw Ste J Conover NC 28613-8257 | |
| (828) 282-2280 | |
| (828) 282-2278 |
| Full Name | Proactive Md Nc, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 Commerce St Sw Ste J, Conover, North Carolina |
| Authorized Official Name and Position | Mark Kemble (CMO) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md Nc, Pc 10 Centimeters Dr Mauldin SC 29662-3278 Ph: (864) 501-0751 | Proactive Md Nc, Pc 1220 Commerce St Sw Ste J Conover NC 28613-8257 Ph: (828) 282-2280 |
| NPI Number | 1013518166 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013518166 | NPI | - | NPPES |
| 1831661917 | Other | IN | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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