Organization
SOUTHERN CRESCENT MEDICAL SERVICES
Active
Other names
Southern Crescent Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILSON GROGAN NP (OWNER)
(678) 858-6615
Entity
Organization
Contact information
Practice address
123 N 18TH ST STE 100, GRIFFIN, GA 30223-2264
(678) 688-8264
Mailing address
626 OLD MILNER RD, BARNESVILLE, GA 30204-3250
(678) 858-6615
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
08/18/2025
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