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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