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Organization
SOUTHCARE MEDICAL CENTER
Active
Organization
SOUTHCARE MEDICAL CENTER
Active
Other names
AR MEDICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIROZ PATKA M.D. (PRESIDENT)
(478) 625-7597
Entity
Organization
Contact information
Practice address
809 PEACHTREE ST, LOUISVILLE, GA 30434-1449
(478) 625-7597
(478) 625-8364
Mailing address
2514 TOBACCO RD STE C, HEPHZIBAH, GA 30815-7005
(706) 790-0311
(706) 790-0815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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