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TENET SOUTH FULTON INC. NPI 1326084278


NPI Information

NPI: 1326084278
Provider Name: TENET SOUTH FULTON INC.

Doing Business As: SOUTH FULTON PRIMARY CARE SERVICES

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3699 BAKERS FERRY RD SW
ATLANTA, GA
ZIP 30331
Phone: (404) 765-4164
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TENET SOUTH FULTON INC. is an obstetrics gynecology in Atlanta, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TENET SOUTH FULTON INC. NPI is 1326084278. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Fulton Primary Care Services.

The provider's business location address is:

3699 BAKERS FERRY RD SW
ATLANTA, GA
ZIP 30331-712
Phone: (404) 765-4164
Fax: (404) 762-4897

The provider's authorized official is Wesley O. James .
The authorized official title is Regional Cfo, Tenet and has the following contact phone number (404) 265-5009.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 7/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP4147MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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