| North Fulton Primary Care-willeo Road, Llc | |
|
9420 Willeo Rd Suite 206 Roswell GA 30075-6772 | |
| (470) 235-4859 | |
| (470) 235-4860 |
| Full Name | North Fulton Primary Care-willeo Road, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9420 Willeo Rd, Roswell, Georgia |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fulton Primary Care-willeo Road, Llc Po Box 743119 Atlanta GA 30374-3119 Ph: (470) 235-4859 | North Fulton Primary Care-willeo Road, Llc 9420 Willeo Rd Suite 206 Roswell GA 30075-6772 Ph: (470) 235-4859 |
| NPI Number | 1316343999 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316343999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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