Organization
SOUTHERN CRESCENT MEDICAL SERVICES
Active
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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