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Organization

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

Active
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Organization

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

Active
Other names
Southeast Lung Associates
Organization subpart
No

Provider details

NPI number
Authorized official
APRIL YOUNG (PRACTICE ADMINISTRATOR)
(912) 629-0457
Entity
Organization

Contact information

Practice address
122 SCRANTON CONNECTOR, SUITE #112, BRUNSWICK, GA 31525-0533
(912) 629-2290
(912) 629-2291
Mailing address
340 HODGSON CT, SUITE #2, SAVANNAH, GA 31406-1520
(912) 629-2290
(912) 629-2291

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—

Other

Enumeration date
02/06/2014
Last updated
02/06/2014
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