Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Crescent Medical Clinic, Inc

Organization Chiropractor · NPI 1972650661

Southern Crescent Medical Clinic, Inc provides Chiropractor services in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
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

696 Mount Zion Rd Ste C-4
Jonesboro, GA 30236-1597
Phone: (770) 968-1746
Fax: (770) 968-0727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (GA)
Chiropractor Taxonomy 111N00000X (GA)

Record details

NPI number1972650661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hartpence — Owner · (770) 460-7613
NPI enumeratedJanuary 4, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address530 Birkdale Dr, Fayetteville, GA 30215-2724

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