Organization
SOUTHERN CRESCENT PHYSICIANS GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCCLAIN (CEO)
(770) 897-7056
Entity
Organization
Contact information
Practice address
7823 SPIVEY STATION BOULEVARD, SUITE 205, RIVERDALE, GA 30274-2626
(770) 897-7277
Mailing address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 897-7056
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
072414
GA
Other
Enumeration date
08/21/2014
Last updated
06/27/2015
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