# SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053640367
- **Authorized official:** APRIL YOUNG (PRACTICE MANAGER)
- **Authorized official phone:** (912) 354-6614

## Contact information

- **Practice address:** 163 E TOLLISON ST, BAXLEY, GA 31513-0120
- **Practice address phone:** (912) 354-6614
- **Practice address fax:** (912) 356-9078
- **Mailing address:** 340 EISENHOWER DR, BLDG. 1500, SAVANNAH, GA 31406-1600
- **Mailing address phone:** (912) 354-6614
- **Mailing address fax:** (912) 356-9078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173F00000X | Sleep Specialist (PhD) | 032635 | GA | — |
| 207RP1001X | Pulmonary Disease Physician | 032635 | GA | Yes |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 12/15/2009