# GEORGIA LUNG ASSOCIATES PC

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

## Provider details

- **NPI number:** 1104989136
- **Authorized official:** MR. ANTHONY BROYLES CEO (CEO)
- **Authorized official phone:** (770) 948-6774

## Contact information

- **Practice address:** 3820 MEDICAL PARK DRIVE, AUSTELL, GA 30106-1110
- **Practice address phone:** (770) 948-6041
- **Practice address fax:** (770) 948-2736
- **Mailing address:** 3820 MEDICAL PARK DRIVE, AUSTELL, GA 30106-1110
- **Mailing address phone:** (770) 948-6041
- **Mailing address fax:** (770) 948-2736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 04/09/2012