| South Fulton Primary Care Services | |
|
3699 Bakers Ferry Rd Sw Atlanta GA 30331-3712 | |
| (404) 765-4164 | |
| (404) 762-4897 |
| Full Name | South Fulton Primary Care Services |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 3699 Bakers Ferry Rd Sw, Atlanta, 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 |
|---|---|
| South Fulton Primary Care Services 1920 John Wesley Ave College Park GA 30337-3606 Ph: (404) 765-4164 | South Fulton Primary Care Services 3699 Bakers Ferry Rd Sw Atlanta GA 30331-3712 Ph: (404) 765-4164 |
| NPI Number | 1326084278 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326084278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
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