| Southern Crescent Physicians Group | |
|
11 Upper Riverdale Rd Sw Riverdale GA 30274-2615 | |
| (770) 991-8500 | |
| (770) 991-8507 |
| Full Name | Southern Crescent Physicians Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Authorized Official Name and Position | John Mclain (COO) |
| Authorized Official Contact | 7709918000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Crescent Physicians Group 11 Upper Riverdale Rd Sw Riverdale GA 30274-2615 Ph: (770) 991-8500 | Southern Crescent Physicians Group 11 Upper Riverdale Rd Sw Riverdale GA 30274-2615 Ph: (770) 991-8500 |
| NPI Number | 1801979174 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801979174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 031442 (Georgia) | Primary |
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