Organization
SOUTHERN PRIMARY CARE, LLC
Active
Other names
AMGA DMEPOS
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH PATEL (MD)
(478) 477-0966
Entity
Organization
Contact information
Practice address
101 WILLIE LEE PKWY STE 400, WARNER ROBINS, GA 31088-9245
(478) 477-0966
(478) 254-3146
Mailing address
197 BASS RD, MACON, GA 31210-2060
(478) 477-0966
(478) 254-3146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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