SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC is a neurology psychiatry neurology in Fayetteville, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC NPI is 1013052182. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1250 HIGHWAY 54 W
102
FAYETTEVILLE, GA
ZIP 30214-545
Phone: (770) 719-2965
Fax: (770) 719-2963
The provider's authorized official is Kenneth Jay Lazarus .
The authorized official title is Ceo and has the following contact phone number (770) 719-2965.
The CLIA number assigned to this NPI record is 11D1051448 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 2/20/2007 and was last updated on 6/21/2018.