Southcare Medical Center

NPI 1114956075 - Family Medicine - 207Q00000X

NPI Details
NPI 1114956075
Enumeration Date 07/02/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FIROZ FIROZ
Position PRESIDENT
Phone (478) 625-7597
Fax (478) 625-8364
Practice Location
809 PEACHTREE ST
LOUISVILLE GA, 30434-1449, US
Phone (478) 625-7597
Fax (478) 625-8364
Business Location
2514 TOBACCO RD STE C
HEPHZIBAH GA, 30815-7005, US
Phone (706) 790-0311
Fax (706) 790-0815
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Southcare Medical Center NPI is 1114956075, taxonomy code is 207Q00000X Southcare Medical Center physically located at 809 Peachtree St, Louisville GA, 30434-1449. NPI Number 1033115704 has the healthcare provider type.

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1114956075 NPI number is provided on an as is basis without warranty of any kind. 1114956075 is maintained by the National Plan & Provider Enumeration System. The contents of Southcare Medical Center are for informational purposes only.