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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

Other

Enumeration date
07/02/2006
Last updated
08/22/2020
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