# 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:** 1598189805
- **Authorized official:** APRIL YOUNG (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (912) 629-0457

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 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