Neurology Clinic

Southern Crescent Neurological Clinic,pc

1250 Highway 54 W, 102, Fayetteville, Georgia, 30214-4545

About Southern Crescent Neurological Clinic,pc

Southern Crescent Neurological Clinic,pc is a neurology clinic located in Fayetteville, Georgia. The clinic is located at 1250 Highway 54 W, 102, Fayetteville, GA and can be reached at 770-719-2965. The authorized official for Southern Crescent Neurological Clinic,pc is Dr. Kenneth Jay Lazarus, who serves as the clinic’s Ceo. He/She can be contacted at 770-719-2965. The clinic’s primary license number in Georgia is 031058 (Neurology) .
Southern Crescent Neurological Clinic,pc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.

Clinic Information

Southern Crescent Neurological Clinic,pc Clinic's specialty, address, contact phone number and fax are as below. Patients can contact the clinic at the given phone number for appointments.

Clinic Name Southern Crescent Neurological Clinic,pc
Specialization Neurology
Practice Address 1250 Highway 54 W, 102
Fayetteville, GA - 30214-4545
Fax 770-719-2963

Authorized/Official Person Profile

Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.

Name Dr. Kenneth Jay Lazarus
Position Ceo
Contact Number 770-719-2965

Professional Identification Codes

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number1013052182
NPI Enumeration Date: 20 Feb, 2007
NPI Last Update On: 21 Jun, 2018

Medical Licenses

Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Crescent Neurological Clinic,pc are as mentioned below.
License NumberSpecializationStateStatus
031058Neurology GeorgiaPrimary

Other Medical Identifiers

Other professional identifiers associated with Southern Crescent Neurological Clinic,pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
000406795DMedicaidGeorgia
GRP2807OtherGeorgiaMEDICARE FACILITY ID

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Southern Crescent Neurological Clinic,pc
1250 Highway 54 W, 102
Fayetteville, GA - 30214-4545
Phone: 770-719-2965
Fax: 770-719-2963

Book an Appointment with Southern Crescent Neurological Clinic,pc

To schedule an appointment, contact Southern Crescent Neurological Clinic,pc at 1250 Highway 54 W, 102, Fayetteville, Georgia or call the phone number listed below.

Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Southern Crescent Neurological Clinic,pc clinic:

Southern Crescent Neurological Clinic,pc is a neurology clinic specializing in Neurology.

Southern Crescent Neurological Clinic,pc is located at 1250 Highway 54 W, 102, Fayetteville, Georgia 30214-4545.

Patients can contact Southern Crescent Neurological Clinic,pc at 770-719-2965 for inquiries about its services and appointments.

Please contact Southern Crescent Neurological Clinic,pc directly to inquire about new-patient availability and appointment options.
* Availability may change.

Southern Crescent Neurological Clinic,pc specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.

Patients can contact Southern Crescent Neurological Clinic,pc at 770-719-2965 to inquire about appointments, consultation requirements and available services.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.