Organization · Type 2 NPI

Proactive MD Ky PSC

Family Medicine Physician · Greenville, SC

NPI number 1609452929 Active

Practice location

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Call (864) 501-0751 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1609452929

Proactive MD Ky PSC's National Provider Identifier is 1609452929, issued on Mar 18, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Greenville, SC. The record was last updated on Aug 24, 2026.