Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Fulton Medical Center Practice Plan, LLC

Organization Surgery Physician · NPI 1972644672

South Fulton Medical Center Practice Plan, LLC is a Surgery Physician 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
Phone: (404) 466-1320
Fax: (404) 466-1360
Show map & directions

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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