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

Southern Crescent Physicians Group, Inc

Organization Plastic Surgery Physician · NPI 1174922520

Southern Crescent Physicians Group, Inc is a Plastic Surgery Physician in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7823 Spivey Station Blvd Ste 205
Riverdale, GA 30274-2626
Phone: (770) 897-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 072414 (GA)

Record details

NPI number1174922520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McClain — Ceo · (770) 897-7056
NPI enumeratedAugust 21, 2014
Last updated in NPPESJune 27, 2015
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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