South Fulton Health Care Centers, Inc. | |
1920 John Wesley Ave College Park GA 30337-3606 | |
(404) 765-4200 | |
(404) 762-4897 |
Full Name | South Fulton Health Care Centers, Inc. |
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Speciality | Obstetrics & Gynecology |
Location | 1920 John Wesley Ave, College Park, 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 |
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South Fulton Health Care Centers, Inc. Po Box 741660 Atlanta GA 30374-1660 Ph: (404) 765-4200 | South Fulton Health Care Centers, Inc. 1920 John Wesley Ave College Park GA 30337-3606 Ph: (404) 765-4200 |
NPI Number | 1902965478 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 07/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902965478 | NPI | - | NPPES |
85001462G | Medicaid | GA | |
300042918-H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
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