Southern Crescent Physicians Group, Inc.
LBN: Southern Crescent Physicians Group, Inc.
Southern Crescent Physicians Group, Inc. is an health care organization with primary practice located at 11 Upper Riverdale Rd Sw Terrace Level, Riverdale GA 30274-2615. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Southern Crescent Physicians Group, Inc. can be contacted via phone (770) 996-3190, or through Mclain, John via phone (770) 897-7546.
Contact Information
Primary practice address
11 Upper Riverdale Rd Sw Terrace Level
Riverdale GA 30274-2615
Phone: (770) 996-3190
Fax: (770) 996-3529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 053450 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 028352 | Georgia |
Profile Details
| NPI number | 1588069900 |
|---|---|
| LBN Legal business name | Southern Crescent Physicians Group, Inc. |
| DBA Doing business as | |
| Authorized official | Mclain, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 28th, 2014 |
| Last updated | Jun 22nd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588069900 | NPPES |
| Georgia | MEDICAID | 990103456A |
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