Organization
TENET SOUTH FULTON INC.
Active
Other names
South Fulton Primary Care Services
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
3699 BAKERS FERRY RD SW, ATLANTA, GA 30331-3712
(404) 765-4164
(404) 762-4897
Mailing address
1920 JOHN WESLEY AVE, COLLEGE PARK, GA 30337-3606
(404) 765-4164
(404) 762-4897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
07/28/2016
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