Organization
SOUTHCARE PHYSICIANS GROUP SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
1136 CLEVELAND AVE, SUITE 303, EAST POINT, GA 30344-3618
(404) 530-3041
(404) 530-3052
Mailing address
1136 CLEVELAND AVE, SUITE 303, EAST POINT, GA 30344-3618
(404) 530-3041
(404) 530-3052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
Other
Enumeration date
02/06/2008
Last updated
06/23/2016
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