| Proactive MD | |
|
125 Park Place Ct Lexington SC 29072-6690 | |
| (803) 999-3380 | |
| Not Available |
| Full Name | Proactive MD |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 125 Park Place Ct, Lexington, South Carolina |
| Authorized Official Name and Position | Mark Allen Kemble (CMO) |
| 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 125 Park Place Ct Lexington SC 29072-6690 Ph: (803) 999-3380 |
| NPI Number | 1629842240 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 09/22/2026 |
| Certification Date | 09/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629842240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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