# SOUTHEASTERN LUNG CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Sleep Disorders Centers of Southeastern Lung Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235114430
- **Authorized official:** MRS. ANDREA LYNN DISCORDIA BHA CPC CHCC CMM (CEO ADMINISTRATOR)
- **Authorized official phone:** (404) 294-4018

## Contact information

- **Practice address:** 1490 MILSTEAD RD NE STE A, CONYERS, GA 30012-3823
- **Practice address phone:** (770) 922-2217
- **Practice address fax:** (770) 922-1626
- **Mailing address:** 1490 MILSTEAD RD NE STE A, CONYERS, GA 30012-3823
- **Mailing address phone:** (770) 922-2217
- **Mailing address fax:** (770) 922-1626

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 03/06/2019