Organization · Type 2 NPI
Proactive MD Sc,p.a.
Primary Care Clinic/Center · North Charleston, SC
NPI number
1811640667
Active
Practice location
3520 W Montague Ave
North Charleston, SC 29418-6099
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1811640667
Proactive MD Sc,p.a.'s National Provider Identifier is 1811640667, issued on Feb 1, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in North Charleston, SC. The record was last updated on Sep 22, 2026.