Southern Crescent Medical Center, Llc, NPI 1578111910
Family Medicine Physician in Stockbridge, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1578111910
NPI Entity Type Organization
Provider Name Southern Crescent Medical Center, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3579 Highway 138 Se Ste 103, Stockbridge, GA, US
Provider Mailing Address 3579 Highway 138 Se Ste 103, Stockbridge, GA, US, 302814127
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Shantel Bryant
Official Position OWNER
Phone 770-629-4374

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

Southern Crescent Medical Center, Llc
3579 Highway 138 Se Ste 103

Stockbridge, GA, US

Phone: 770-629-4374
Fax: 678-545-1735

Mailing Address

Southern Crescent Medical Center, Llc
3579 Highway 138 Se Ste 103
Stockbridge, GA, US
ZIP 302814127
Phone: 770-629-4374
Fax: 678-545-1735

Secondary Taxonomies

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
OTHERS [email protected] email HIE OTHER No 3579 Highway 138 SE Ste 103, Stockbridge, GA, US

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