Organization
FAMILY AND PHYSICAL MEDICINE OF SOUTH ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH HARTPENCE NP (OWNER)
(678) 378-4986
Entity
Organization
Contact information
Practice address
1635 HIGHWAY 34 E STE D, NEWNAN, GA 30265-2173
(470) 627-3053
(470) 627-3054
Mailing address
696 MOUNT ZION RD STE C4, JONESBORO, GA 30236-1583
(470) 627-3053
(470) 627-3054
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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