Organization
PRIMARY MEDICAL ASSOCIATION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHIL KUMAR DAS MD (PRESIDENT)
(803) 324-7777
Entity
Organization
Contact information
Practice address
1787 EBENEZER RD, ROCK HILL, SC 29732-1101
(803) 324-7777
(803) 324-8787
Mailing address
1410 SNYDER ST, ROCK HILL, SC 29732-7721
(803) 324-7777
(803) 324-8787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2808
—
SC
Enumeration date
12/13/2006
Last updated
07/23/2012
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