Southern Crescent Pediatrics PC

NPI #1437145950 in Ellenwood, Georgia

Provider Information

NPI Number
1437145950
Entity Type
Organization
Organization Name
Southern Crescent Pediatrics PC
Primary Specialty
Pediatrics
Enumeration Date
Sep 20, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
191 FAIRVIEW RD
State
Georgia
ZIP Code
30294-2722
Phone
(770) 389-5500

Authorized Official

Name
JUAN JOSE SHERWOOD, MD
Title
PRESIDENT
Phone
(770) 389-9944

Specialties & Taxonomy Codes

Specialty
Pediatrics

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