NPI 1043302060

Southern Medical Associates, P.A.

Organisation Family Medicine Physician Loris, SC

Practice location

Address: 3418 Casey St, Loris, SC 29569-2904
Phone: (843) 756-7885
Fax: (843) 756-7855

Authorised official

Name: Susan M. Johnson
Title: Practice Manager
Phone: (843) 756-7885

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in South Carolina →

Registry record

NPI: 1043302060
Entity type: Organization
NPI issued: 28 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.