Proactive Md Sc,p.a. | |
245 Parkway E Duncan SC 29334-9489 | |
(864) 501-0751 | |
Not Available |
Full Name | Proactive Md Sc,p.a. |
---|---|
Speciality | Family Medicine |
Location | 245 Parkway E, Duncan, South Carolina |
Authorized Official Name and Position | Mark Allen Kemble (EVP OF MEDICAL AFFAIRS) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Proactive Md Sc,p.a. 10 Centimeters Dr Mauldin SC 29662-3278 Ph: (864) 501-0751 | Proactive Md Sc,p.a. 245 Parkway E Duncan SC 29334-9489 Ph: (864) 501-0751 |
NPI Number | 1750843132 |
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Provider Enumeration Date | 04/03/2019 |
Last Update Date | 05/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750843132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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