Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Fulton Medical Center Practice Plan, LLC

Organization Surgery Physician · NPI 1972644672

South Fulton Medical Center Practice Plan, LLC provides Surgery Physician services in East Point, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1170 Cleveland Ave
East Point, GA 30344-3615 Not confirmed with CMS for 10 years — call before visiting
Phone: (404) 466-1320
Fax: (404) 466-1360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1972644672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Burtnett — Svp Of Outpatient Services, Tenet · (469) 893-2153
Other names South Fulton Medical Center Practice Plan
NPI enumeratedFebruary 8, 2007
Last updated in NPPESJune 23, 2016
Mailing address1170 Cleveland Ave, East Point, GA 30344-3615

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