Southern Crescent Physicians Group, INC

NPI #1174922520 in Riverdale, Georgia

Provider Information

NPI Number: 1174922520
Entity Type: Organization
Organization Name: Southern Crescent Physicians Group, INC
Primary Specialty: Plastic Surgery
Enumeration Date: Aug 21, 2014
Last Updated: Jun 27, 2015

Practice Location

Address: 7823 SPIVEY STATION BOULEVARD
Address 2: SUITE 205
City: Riverdale
State: Georgia
ZIP Code: 30274-2626
Phone: (770) 897-7277

Authorized Official

Name: JOHN MCCLAIN
Title: CEO
Phone: (770) 897-7056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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