Organization
NORTH FULTON PRIMARY CARE-WILLEO ROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
9420 WILLEO RD, SUITE 206, ROSWELL, GA 30075-6772
(470) 235-4859
(470) 235-4860
Mailing address
PO BOX 743119, ATLANTA, GA 30374-3119
(470) 235-4859
(470) 235-4860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
06/16/2016
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