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 provides Family Medicine Physician services 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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