Southern Crescent Plastic Surgery ASC
Southern Crescent Plastic Surgery ASC is an Ambulatory Surgical Clinic/Center in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
919 Eagles Landing PkwyStockbridge, GA 30281-5011
Phone: (770) 389-0446
Fax: (770) 389-3530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 035432 (GA) |
|---|
Record details
| NPI number | 1942353115 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alice Gross — Administrator · (770) 389-0446 |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | February 17, 2012 |
| Mailing address | 919 Eagles Landing Pkwy, Stockbridge, GA 30281-5011 |
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