Organization · Type 2 NPI

Proactive MD Sc,p.a.

Primary Care Clinic/Center · Mount Pleasant, SC

NPI number 1073279402 Active

Practice location

900 Bowman Rd Ste 103
Mount Pleasant, SC 29464-3218

Call (864) 501-0751 Map

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Edgar Benton Barnard, MDFamily Medicine Physician Mount Pleasant, SC NPI 1023004546

Other primary care clinic/center providers in Mount Pleasant

See all in Mount Pleasant →

NPI record

NPI: 1073279402
Entity type: Organization (Type 2)
Issued: Nov 10, 2021
Last updated: Sep 22, 2026
Status: Active

Other names

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Proactive MD Mount Pleasant Health Center · doing business as
Proactive MD Mount Pleasant Health Center · doing business as

Authorized official

Mark Allen Kemble, MD
CMO
(864) 640-8355

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073279402

Proactive MD Sc,p.a.'s National Provider Identifier is 1073279402, issued on Nov 10, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mount Pleasant, SC. The record was last updated on Sep 22, 2026.