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SOUTHERN CRESCENT PHYSICIANS GROUP INC. NPI 1568861268


NPI Information

NPI: 1568861268
Provider Name: SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 11D2200431

Address:
325 N JEFF DAVIS DR
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 461-1337
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SOUTHERN CRESCENT PHYSICIANS GROUP, INC. is a surgery in Fayetteville, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTHERN CRESCENT PHYSICIANS GROUP, INC. NPI is 1568861268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 N JEFF DAVIS DR
FAYETTEVILLE, GA
ZIP 30214-627
Phone: (770) 461-1337

The provider's authorized official is John Mcclain .
The authorized official title is Ceo and has the following contact phone number 77089770566.

The CLIA number assigned to this NPI record is 11D2200431 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery072414GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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