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Southern Crescent Medical Center, Llc
Nurse Practitioner in Stockbridge, Georgia
NPI 1578111910

Southern Crescent Medical Center, Llc is a Nurse Practitioner based in Stockbridge, GA. Southern Crescent Medical Center, Llc practices in Stockbridge, GA. The NPI Number for Southern Crescent Medical Center, Llc is 1578111910 and holds a License No. (Georgia).

The current practice location address for Southern Crescent Medical Center, Llc is 3579 Highway 138 Se Ste 103, Stockbridge, GA and can be reached out via phone at 770-629-4374 and via fax at 678-545-1735. You can also correspond with Southern Crescent Medical Center, Llc through the mailing address at 3579 HIGHWAY 138 SE STE 103, STOCKBRIDGE, GA - 30281-4127 (mailing address contact number: 770-629-4374).

Location: 3579 Highway 138 Se Ste 103, Stockbridge, GA, 30281-4127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578111910
Provider Name
Southern Crescent Medical Center, Llc
Credential
Provider Entity Type
Organization
Address
3579 Highway 138 Se Ste 103, Stockbridge, GA, 30281-4127
Phone Number
770-629-4374
Fax Number
678-545-1735
Provider Enumeration Date
08/29/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003227501A 05 GA
institution
Provider Business Practice Location Address Details
Address
3579 Highway 138 Se Ste 103
City
Stockbridge
State
Georgia
Zip
30281-4127
Phone Number
770-629-4374
Fax Number
678-545-1735
person
Provider Business Mailing Address Details
Address
3579 Highway 138 Se Ste 103
City
Stockbridge
State
Georgia
Zip
30281-4127
Phone Number
770-629-4374
Fax Number
678-545-1735
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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