Organization · Type 2 NPI

Proactive MD Nc, PC

Primary Care Clinic/Center · Mocksville, NC

NPI number 1154036713 Active

Practice location

251 Eaton Rd
Mocksville, NC 27028-8653

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

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

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About NPI 1154036713

Proactive MD Nc, PC's National Provider Identifier is 1154036713, issued on Jan 18, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mocksville, NC. The record was last updated on Aug 31, 2026.