Organization
SOUTHERN PRIMARY CARE, LLC
Active
Other names
AMGA HC LAB
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH PATEL (MD)
(478) 477-0966
Entity
Organization
Contact information
Practice address
1499 FOREST HILL BLVD STE 112, WEST PALM BEACH, FL 33406-6050
(407) 761-8640
Mailing address
197 BASS RD, MACON, GA 31210-2060
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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