Organization
SOUTHEASTERN MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVED FIROZ PATKA D.O. (OWNER)
(839) 400-4440
Entity
Organization
Contact information
Practice address
1795 DR FRANK GASTON BLVD, ROCK HILL, SC 29732-1190
(839) 400-4440
Mailing address
1750 HIGHWAY 160 W STE 101-239, FORT MILL, SC 29708-8009
(839) 400-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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