| Proactive MD | |
|
3520 W Montague Ave N Charleston SC 29418-6099 | |
| (843) 885-4900 | |
| Not Available |
| Full Name | Proactive MD |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3520 W Montague Ave, N Charleston, 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 3520 W Montague Ave N Charleston SC 29418-6099 Ph: (843) 885-4900 |
| NPI Number | 1811640667 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 09/22/2026 |
| Certification Date | 09/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811640667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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