SOUTHERN CRESCENT PLASTIC SURGERY, PC; NPI #1841573458

Contact Information

SOUTHERN CRESCENT PLASTIC SURGERY, PC

919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-5011

Phone: 770-389-0446
Fax: 770-389-3530
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for SOUTHERN CRESCENT PLASTIC SURGERY, PC

NPI Number	`1841573458`
LBN Legal business name	SOUTHERN CRESCENT PLASTIC SURGERY, PC
Authorized official	ALICE GROSS - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/21/2011
Last updated	09/21/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHERN CRESCENT PLASTIC SURGERY, PC

Contact Information

Specialty

Plastic and Reconstructive Surgery

NPI Profile & details for SOUTHERN CRESCENT PLASTIC SURGERY, PC

Reviews for SOUTHERN CRESCENT PLASTIC SURGERY, PC