SOUTHERN CRESCENT PHYSICIANS GROUP INC NPI 1366841744

NPI Information

  • NPI: 1366841744
  • Provider Name: SOUTHERN CRESCENT PHYSICIANS GROUP, INC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • CLIA Number: 11D0257984
  • Address: 3885 PRINCETON LAKES WAY SW
    ATLANTA, GA
    ZIP 30331
  • Phone: (770) 996-3190

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NPI Details

SOUTHERN CRESCENT PHYSICIANS GROUP, INC is a neurology psychiatry neurology in Atlanta, 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 PHYSICIANS GROUP, INC NPI is 1366841744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331-589
Phone: (770) 996-3190
Fax: (770) 996-3529

The provider's authorized official is John Mcclain .
The authorized official title is Ceo and has the following contact phone number (770) 897-7056.

The CLIA number assigned to this NPI record is 11D0257984 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

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
12084N0400XPsychiatry & NeurologyNeurology053450GEORGIAYes

What is NPI?

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

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