Southern Crescent Pediatrics PC

NPI #1548252562 in Riverdale, Georgia

Provider Information

NPI Number: 1548252562
Entity Type: Organization
Organization Name: Southern Crescent Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Aug 16, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 6584 PROFESSIONAL PL
Address 2: STE C
City: Riverdale
State: Georgia
ZIP Code: 30274-4942
Phone: (770) 996-9225

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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