Southern Crescent Medical Clinic, Inc.

NPI #1972650661 in Jonesboro, Georgia

Provider Information

NPI Number: 1972650661
Entity Type: Organization
Organization Name: Southern Crescent Medical Clinic, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 4, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 696 MOUNT ZION RD
Address 2: SUITE C-4
City: Jonesboro
State: Georgia
ZIP Code: 30236-1597
Phone: (770) 968-1746

Authorized Official

Name: MICHAEL THOMAS HARTPENCE
Title: OWNER
Phone: (770) 460-7613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Internal Medicine	207R00000X	Primary

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