# 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:** 1659638427
- **Authorized official:** APRIL YOUNG (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (912) 629-0457

## Contact information

- **Practice address:** 960 COLLEGE AVE, MILLEN, GA 30442-1634
- **Practice address phone:** (912) 629-2290
- **Practice address fax:** (912) 629-2291
- **Mailing address:** 340 EISENHOWER DR, BLDG \#1500, SAVANNAH, GA 31406-1600
- **Mailing address phone:** (912) 354-6614
- **Mailing address fax:** (912) 353-7836

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2012
- **Last updated:** 04/18/2012