Organization Name: | AR MEDICAL LLC |
NPI Number: | 1659431708 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FIROZ PATKA (PRESIDENT) |
Mailing Address: | 2514-c Tabacco Rd Hephzibah |
State: | GA US |
Postal Code: | 308157005 |
Phone Number: | 7067900311 |
Fax Number: | 7067900815 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |