# PIEDMONT EXPRESS CARE AT SUTTON ROAD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sutton Road Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083032254
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 515 RIVERCROSSING DR, SUITE 180, FORT MILL, SC 29715-7900
- **Practice address phone:** (803) 547-8181
- **Practice address fax:** (803) 547-8180
- **Mailing address:** PO BOX 743012, ATLANTA, GA 30374-3012
- **Mailing address phone:** (803) 547-8181
- **Mailing address fax:** (803) 547-8180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 06/23/2016