Southern Medical Associates, P.a.

NPI #1043302060 in Loris, South Carolina

Provider Information

NPI Number: 1043302060
Entity Type: Organization
Organization Name: Southern Medical Associates, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Sep 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3418 CASEY ST
City: Loris
State: South Carolina
ZIP Code: 29569-2904
Phone: (843) 756-7885

Authorized Official

Name: SUSAN M. JOHNSON
Title: PRACTICE MANAGER
Phone: (843) 756-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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