Organization · Type 2 NPI

Proactive Md,sc,p.a.

Primary Care Clinic/Center · North Myrtle Beach, SC

NPI number 1295563674 Active

Practice location

1120 2nd Ave S # B
North Myrtle Beach, SC 29582-3108

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 1295563674

Proactive Md,sc,p.a.'s National Provider Identifier is 1295563674, issued on Jul 25, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Sep 22, 2026.