Southern Crescent Physicians Group, Inc.

NPI #1366841082 in Riverdale, Georgia

Provider Information

NPI Number: 1366841082
Entity Type: Organization
Organization Name: Southern Crescent Physicians Group, Inc.
Primary Specialty: Surgery
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 33 UPPER RIVERDALE RD SW
Address 2: SUITE 121
City: Riverdale
State: Georgia
ZIP Code: 30274-2626
Phone: (770) 897-7546

Authorized Official

Name: JOHN MCCLAIN
Title: CEO
Phone: (770) 897-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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