| Sfmc Primary Care Services | |
|
1920 John Wesley Ave College Park GA 30337-3606 | |
| (404) 765-4200 | |
| (404) 762-4897 |
| Full Name | Sfmc Primary Care Services |
|---|---|
| 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 |
|---|---|
| Sfmc Primary Care Services Po Box 741660 Atlanta GA 30374-1660 Ph: (404) 765-4200 | Sfmc Primary Care Services 1920 John Wesley Ave College Park GA 30337-3606 Ph: (404) 765-4200 |
| NPI Number | 1902965478 |
|---|---|
| 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 | () | Secondary |
| 207V00000X | Obstetrics & Gynecology | () | Primary |
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