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Organization
SOUTHERN CRESCENT PLASTIC SURGERY, PC
Active
Organization
SOUTHERN CRESCENT PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE GROSS BSN, CNOR, RNFA (ADMINISTRATOR)
(770) 389-0446
Entity
Organization
Contact information
Practice address
919 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 389-0446
(770) 389-3530
Mailing address
919 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 389-0446
(770) 389-3530
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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