Southern Crescent Hospital For Specialty Care, Inc.

NPI 1235227737

Information of Southern Crescent Hospital For Specialty Care, Inc.

The NPI 1235227737 is an Organization type. NPI No 1235227737 belongs to Southern Crescent Hospital For Specialty Care, Inc.. Southern Crescent Hospital For Specialty Care, Inc. specializes in Long Term Care Hospital. is practising at 11 Upper Riverdale Rd Sw, Riverdale, Georgia 30274. You can also contact him via phone number (770) 897-7603.

Practice address located

  • 11 Upper Riverdale Rd Sw
  • Riverdale, Georgia 30274
  • (770) 897-7603
  • (770) 897-7603

Mailling address located

  • 11 Upper Riverdale Rd Sw
  • Riverdale, Georgia 30274
  • (770) 897-7603
  • (770) 897-7606
Southern Crescent Hospital For Specialty Care, Inc. is PECOS enrolled.
NPI No 1235227737
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes282E00000XLong Term Care Hospital031-614Georgia
Identifier for this provider
StateIdentifierTypeIssuer
GA003109426AMedicaidn/a
n/a112015Medicare Oscar/Certificationn/a
GA3397399OtherAETNA PVN
GA7361505OtherAETNA PIN
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