Organization
SOUTH FULTON MEDICAL CENTER PRACTICE PLAN, LLC
Active
Other names
South Fulton Medical Center Practice Plan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1320
(404) 466-1360
Mailing address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1320
(404) 466-1360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
06/23/2016
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