Organization · Type 2 NPI

Proactive MD Ia PC

Primary Care Clinic/Center · Greenville, SC

NPI number 1558032011 Active

Practice location

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Call (864) 501-0751 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

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

17 other providers at this address

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About NPI 1558032011

Proactive MD Ia PC's National Provider Identifier is 1558032011, issued on Sep 24, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Greenville, SC. The record was last updated on Aug 24, 2026.