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Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Active
Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANEY G ODOM (ADMINISTRATOR)
(843) 682-2934
Entity
Organization
Contact information
Practice address
23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926-6606
(843) 682-2934
(843) 682-3597
Mailing address
23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926-6606
(843) 682-2934
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19179
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
19179
SC
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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