SOUTHCARE MEDICAL CENTER NPI 1114956075

NPI Information

  • NPI: 1114956075
  • Provider Name: SOUTHCARE MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: AR MEDICAL LLC
  • Address: 809 PEACHTREE ST
    LOUISVILLE, GA
    ZIP 30434
  • Phone: (478) 625-7597

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NPI Details

SOUTHCARE MEDICAL CENTER is a family medicine in Louisville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHCARE MEDICAL CENTER NPI is 1114956075. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ar Medical Llc.

The provider's business location address is:

809 PEACHTREE ST
LOUISVILLE, GA
ZIP 30434-449
Phone: (478) 625-7597
Fax: (478) 625-8364

The provider's authorized official is Firoz Patka .
The authorized official title is President and has the following contact phone number (478) 625-7597.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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