| South Fulton Primary Care, Llc | |
|
1203 Cleveland Ave Suite 1a East Point GA 30344-3417 | |
| (404) 305-8900 | |
| (404) 305-8099 |
| Full Name | South Fulton Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1203 Cleveland Ave, East Point, Georgia |
| Authorized Official Name and Position | Logan Allen (VP CLIENT OPERATIONS) |
| Authorized Official Contact | 6782522137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Fulton Primary Care, Llc 2220 Wisteria Dr Suite 208 Snellville GA 30078-2656 Ph: (678) 252-2137 | South Fulton Primary Care, Llc 1203 Cleveland Ave Suite 1a East Point GA 30344-3417 Ph: (404) 305-8900 |
| NPI Number | 1174851919 |
|---|---|
| Provider Enumeration Date | 12/04/2009 |
| Last Update Date | 12/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174851919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 046202 (Georgia) | Primary |
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