# SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

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

## Provider details

- **NPI number:** 1528365111
- **Authorized official:** MRS. MELANEY G ODOM (ADMINISTRATOR)
- **Authorized official phone:** (843) 682-2934

## Contact information

- **Practice address:** 1010 MEDICAL CENTER DR, SUITE 100, HARDEEVILLE, SC 29927-3447
- **Practice address phone:** (843) 208-3584
- **Mailing address:** 23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926-6606
- **Mailing address phone:** (843) 682-2934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 26860 | SC | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 26860 | SC | — |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 02/17/2011