# SOUTHCARE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AR MEDICAL LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114956075
- **Authorized official:** DR. FIROZ PATKA M.D. (PRESIDENT)
- **Authorized official phone:** (478) 625-7597

## Contact information

- **Practice address:** 809 PEACHTREE ST, LOUISVILLE, GA 30434-1449
- **Practice address phone:** (478) 625-7597
- **Practice address fax:** (478) 625-8364
- **Mailing address:** 2514 TOBACCO RD STE C, HEPHZIBAH, GA 30815-7005
- **Mailing address phone:** (706) 790-0311
- **Mailing address fax:** (706) 790-0815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/22/2020