# SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Lung Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447628789
- **Authorized official:** APRIL YOUNG (ADMINISTRATOR)
- **Authorized official phone:** (912) 629-0457

## Contact information

- **Practice address:** 370 PEACHTREE ST, JESUP, GA 31545-0244
- **Practice address phone:** (912) 629-2290
- **Mailing address:** PO BOX 14417, SAVANNAH, GA 31416-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 32635 | GA | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 36358 | GA | — |
| 363A00000X | Physician Assistant | 007191 | GA | — |
| 363LA2100X | Acute Care Nurse Practitioner | RN181784 | GA | — |
| 363LF0000X | Family Nurse Practitioner | RN101700 | GA | — |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/03/2015