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

Proactive MD Wv Corporation

Organization Primary Care Clinic/Center · NPI 1275379810

Proactive MD Wv Corporation is a Primary Care Clinic/Center in S Charleston, West Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

269 Staunton Ave SW Ste 100
S Charleston, WV 25303
Phone: (304) 768-0321
Fax: (864) 990-3834
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1275379810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 501-0754
Other names Proactive Md; Union Health And Wellness Center
NPI enumeratedJuly 3, 2024
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207