Southern Crescent Neurological Clinic, PC
Southern Crescent Neurological Clinic, PC is a Neurology Physician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1250 Highway 54 W 102Fayetteville, GA 30214-4545
Phone: (770) 719-2965
Fax: (770) 719-2963
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 031058 (GA) |
|---|
Record details
| NPI number | 1013052182 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Lazarus — Ceo · (770) 719-2965 |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | June 21, 2018 |
| Mailing address | 1250 Highway 54 W, 102, Fayetteville, GA 30214-4545 |
Other providers in Fayetteville
-
Evan McCarroll Johnson, MD
1265 Highway 54 W Ste 500D, Fayetteville, GA 30214-4537 · (770) 506-5410
-
Dr. Kenneth J Lazarus, MD, PHD
1250 Highway 54 W Ste 102, Fayetteville, GA 30214-4545 · (770) 719-2965
-
Mr. Virendra V Ranadive, MD
115 Sumner Rd Fl 2, Fayetteville, GA 30214-4758 · (770) 716-1562
-
Roza K Adamczyk MD PC
106 Governors Sq Ste B, Fayetteville, GA 30215-4805 · (770) 486-8065