# SOUTH ATLANTA LUNG AND SLEEP CLINIC INC.

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

## Provider details

- **NPI number:** 1386838621
- **Authorized official:** DR. HARI GOPAL MADICHETTY MD (OWNER)
- **Authorized official phone:** (770) 633-3843

## Contact information

- **Practice address:** 604A S 8TH ST, GRIFFIN, GA 30224-4214
- **Practice address phone:** (770) 227-1999
- **Mailing address:** PO BOX 326, LOCUST GROVE, GA 30248-0326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 054405 | GA | — |
| 207RP1001X | Pulmonary Disease Physician | 054405 | GA | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 054405 | GA | — |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 07/29/2019