Organization
SOUTHERN CRESCENT FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAITH A ANDREWS MD (OWNER)
(678) 705-0100
Entity
Organization
Contact information
Practice address
525 FOREST PKWY, SUITE 100, FOREST PARK, GA 30297-2149
(678) 705-0100
(678) 235-1800
Mailing address
525 FOREST PKWY, SUITE 100, FOREST PARK, GA 30297-2149
(678) 705-0100
(678) 235-1800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044158
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555253916A
—
GA
Enumeration date
02/08/2008
Last updated
05/15/2008
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