NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1073171336 |   |   |   | PROACTIVE MD SC,P.A. | 10 CENTIMETERS DR | MAULDIN | SC | 296623278 |
1619535978 |   |   |   | PROACTIVE MD SC,P.A. | 124 ALLAWOOD CT | SIMPSONVILLE | SC | 296816207 |