Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Crescent ENT, PC

Organization Otolaryngology Physician · NPI 1841281391

Southern Crescent ENT, PC is an Otolaryngology Physician in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Hospital Dr Ste 100A
Stockbridge, GA 30281-9075
Phone: (770) 474-7416
Fax: (770) 389-6210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 039722 (GA)
Otology & Neurotology Physician Taxonomy 207YX0901X · Licence 046956 (GA)

Record details

NPI number1841281391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Elliott — Practicie Manager · (770) 474-7416
NPI enumeratedNovember 3, 2005
Last updated in NPPESNovember 14, 2011
Mailing address1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075

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