# SOUTHEASTERN MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316708480
- **Authorized official:** DR. JAVED FIROZ PATKA D.O. (OWNER)
- **Authorized official phone:** (839) 400-4440

## Contact information

- **Practice address:** 1795 DR FRANK GASTON BLVD, ROCK HILL, SC 29732-1190
- **Practice address phone:** (839) 400-4440
- **Mailing address:** 1750 HIGHWAY 160 W STE 101-239, FORT MILL, SC 29708-8009
- **Mailing address phone:** (839) 400-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 01/17/2024