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Southern Crescent Physicians Group, Inc.
Neurology Physician in Riverdale, Georgia
NPI 1588069900

Southern Crescent Physicians Group, Inc. is a Neurology Physician based in Riverdale, GA and is specialized in Neurology. Southern Crescent Physicians Group, Inc. practices in Riverdale, GA. The NPI Number for Southern Crescent Physicians Group, Inc. is 1588069900 and holds a License No. 053450 (Georgia).

The current practice location address for Southern Crescent Physicians Group, Inc. is 11 Upper Riverdale Rd Sw, Riverdale, GA and can be reached out via phone at 770-996-3190 and via fax at 770-996-3529.

Location: 11 Upper Riverdale Rd Sw, Riverdale, GA, 30274-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588069900
Provider Name
Southern Crescent Physicians Group, Inc.
Credential
Provider Entity Type
Organization
Address
11 Upper Riverdale Rd Sw, Riverdale, GA, 30274-2615
Phone Number
770-996-3190
Fax Number
770-996-3529
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
990103456A 05 GA
institution
Provider Business Practice Location Address Details
Address
11 Upper Riverdale Rd Sw
City
Riverdale
State
Georgia
Zip
30274-2615
Phone Number
770-996-3190
Fax Number
770-996-3529
person
Provider Business Mailing Address Details
Address
11 Upper Riverdale Rd Sw
City
Riverdale
State
Georgia
Zip
30274-2615
Phone Number
770-996-3190
Fax Number
770-996-3529
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
028352 (Georgia)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
053450 (Georgia)
Definition
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.
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