# FAMILY AND PHYSICAL MEDICINE OF SOUTH ATLANTA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326935198
- **Authorized official:** LEAH HARTPENCE NP (OWNER)
- **Authorized official phone:** (678) 378-4986

## Contact information

- **Practice address:** 1635 HIGHWAY 34 E STE D, NEWNAN, GA 30265-2173
- **Practice address phone:** (470) 627-3053
- **Practice address fax:** (470) 627-3054
- **Mailing address:** 696 MOUNT ZION RD STE C4, JONESBORO, GA 30236-1583
- **Mailing address phone:** (470) 627-3053
- **Mailing address fax:** (470) 627-3054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2025
- **Last updated:** 06/23/2025