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SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE, INC.

Long Term Care Hospital

Riverdale, Georgia

Provider NPI: 1235227737

Organization Information:
Organization Name:  SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE, INC.


Practice Location:
11 UPPER RIVERDALE RD SW 6TH FLOOR RIVERDALE, GA 30274 US
Tel: 770-897-7603  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
GA031-614

Other Provider Identifiers:

IssuerNumberStateType
AETNA PIN7361505GA01
AETNA PVN3397399GA01
003109426AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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