Organization · Type 2 NPI

Proactive MD Wi SC

Primary Care Clinic/Center · Greenville, SC

NPI number 1619615655 Active

Practice location

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Call (864) 501-0751 Map

Other practice locations

  • 124 Allawood Ct, Simpsonville, SC 29681-6207 · (864) 501-0751

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

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

17 other providers at this address

Other primary care clinic/center providers in Greenville

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About NPI 1619615655

Proactive MD Wi SC's National Provider Identifier is 1619615655, issued on May 20, 2022. 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.