Organization
SOUTH FULTON HEALTH CARE CENTERS, INC.
Active
Other names
SFMC 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
1920 JOHN WESLEY AVE, COLLEGE PARK, GA 30337-3606
(404) 765-4200
(404) 762-4897
Mailing address
PO BOX 741660, ATLANTA, GA 30374-1660
(404) 765-4200
(404) 762-4897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300042918-H
—
GA
05
—
85001462G
—
GA
Enumeration date
12/08/2006
Last updated
07/28/2016
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