SOUTHERN CRESCENT PHYSICIANS GROUP INC. NPI 1184023806

NPI Information

  • NPI: 1184023806
  • Provider Name: SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 33 UPPER RIVERDALE RD SW
    SUITE 17
    RIVERDALE, GA
    ZIP 30274
  • Phone: (770) 897-7056

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NPI Details

SOUTHERN CRESCENT PHYSICIANS GROUP, INC. is an orthopaedic surgery in Riverdale, GA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SOUTHERN CRESCENT PHYSICIANS GROUP, INC. NPI is 1184023806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

33 UPPER RIVERDALE RD SW
SUITE 17
RIVERDALE, GA
ZIP 30274-626
Phone: (770) 897-7056
Fax: (770) 909-2169

The provider's authorized official is John Mcclain .
The authorized official title is Ceo and has the following contact phone number (770) 597-7056.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery072683GEORGIANo
2207X00000XOrthopaedic Surgery016401GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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