| Southern Crescent Physicians Group, Inc | |
|
3885 Princeton Lakes Way Sw Atlanta GA 30331-5589 | |
| (770) 996-3190 | |
| (770) 996-3529 |
| Full Name | Southern Crescent Physicians Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3885 Princeton Lakes Way Sw, Atlanta, Georgia |
| Authorized Official Name and Position | John Mcclain (CEO) |
| Authorized Official Contact | 7708977056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Crescent Physicians Group, Inc 11 Upper Riverdale Rd Sw Riverdale GA 30274-2615 Ph: (770) 897-7056 | Southern Crescent Physicians Group, Inc 3885 Princeton Lakes Way Sw Atlanta GA 30331-5589 Ph: (770) 996-3190 |
| NPI Number | 1366841744 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366841744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 053450 (Georgia) | Primary |
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