Southern Crescent Family Practice, Llc

LBN: Southern Crescent Family Practice, Llc
Southern Crescent Family Practice, Llc is an health care organization with primary practice located at 525 Forest Pkwy Suite 100, Forest Park GA 30297-2149. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Crescent Family Practice, Llc can be contacted via phone (678) 705-0100, or through Andrews, Faith A via phone (678) 705-0100.

Contact Information

Primary practice address
525 Forest Pkwy Suite 100 Forest Park GA 30297-2149
Phone: (678) 705-0100
Fax: (678) 235-1800
Website:
Map and Directions
Authorized official contact:
Name: Andrews, Faith A Doctor of Medicine (MD)
Phone: (678) 705-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 044158 Georgia

Profile Details

NPI number 1396923538
LBN Legal business name Southern Crescent Family Practice, Llc
DBA Doing business as
Authorized official Andrews, Faith A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2008
Last updated May 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396923538 NPPES
Georgia MEDICAID 555253916A

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