Organization · Type 2 NPI

Proactive MD Nc, PC

Primary Care Clinic/Center · Fayetteville, NC

NPI number 1578200028 Active

Practice location

226 Bradford Ave
Fayetteville, NC 28301-5404

Fax (910) 912-9102

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...

4 other providers at this address

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About NPI 1578200028

Proactive MD Nc, PC's National Provider Identifier is 1578200028, issued on May 17, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 25, 2026.