# TENET SOUTH FULTON INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Fulton Primary Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326084278
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 3699 BAKERS FERRY RD SW, ATLANTA, GA 30331-3712
- **Practice address phone:** (404) 765-4164
- **Practice address fax:** (404) 762-4897
- **Mailing address:** 1920 JOHN WESLEY AVE, COLLEGE PARK, GA 30337-3606
- **Mailing address phone:** (404) 765-4164
- **Mailing address fax:** (404) 762-4897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 07/28/2016