Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive MD SC, PA

Organization Family Medicine Physician · NPI 1073171336

Proactive MD SC, PA is a Family Medicine Physician in Spartanburg, South Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 Union St
Spartanburg, SC 29302-2734
Phone: (864) 596-2872
Fax: (864) 336-2948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1073171336
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProactive MD SC, PA
Authorized official Mark Kemble — Evp Medical Affairs · (864) 907-8412
NPI enumeratedJune 3, 2019
Last updated in NPPESJune 3, 2019
Mailing address10 Centimeters Dr, Mauldin, SC 29662-3278

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