| Southern Crescent Primary Care | |
|
7823 Spivey Station Blvd Suite 210 Jonesboro GA 30236-2886 | |
| (678) 610-2916 | |
| (678) 610-2925 |
| Full Name | Southern Crescent Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 7823 Spivey Station Blvd, Jonesboro, Georgia |
| Authorized Official Name and Position | John Olubusola Ogundipe (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 6786102916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Crescent Primary Care 7823 Spivey Station Blvd Suite 210 Jonesboro GA 30236-2886 Ph: (678) 610-2916 | Southern Crescent Primary Care 7823 Spivey Station Blvd Suite 210 Jonesboro GA 30236-2886 Ph: (678) 610-2916 |
| NPI Number | 1922267129 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922267129 | NPI | - | NPPES |
| 000639768B | Medicaid | GA | |
| 110239410 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 039193 (Georgia) | Primary |
Clayton Healthcare, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3139 Bay View Dr, Jonesboro, GA 30236 Phone: 404-695-3989 Fax: 770-991-5012 | |
Future Success Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10865 Travellers Trl, Jonesboro, GA 30238 Phone: 404-551-8625 | |
Benchmark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 Mount Zion Blvd, Suite 9, Jonesboro, GA 30236 Phone: 770-603-5660 Fax: 770-603-6779 | |
Georgia Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236 Phone: 770-961-1997 | |
H&h Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Tara Blvd Ste C, Jonesboro, GA 30236 Phone: 770-282-6883 | |
Aica Orthopedics, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd Ste 100, Jonesboro, GA 30236 Phone: 770-968-5611 Fax: 770-968-5468 | |
Northside Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7823 Spivey Station Blvd, Jonesboro, GA 30236 Phone: 770-996-1122 |