# GEORGIA UNIVERSAL LUNGS, LLC

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

## Provider details

- **NPI number:** 1699913319
- **Authorized official:** DR. AKINLOYE JULIUS MAKANJUOLA MD (MANAGER/OWNER)
- **Authorized official phone:** (806) 433-5496

## Contact information

- **Practice address:** 550 PEACHTREE ST NE, SUITE 1285, ATLANTA, GA 30308-2247
- **Practice address phone:** (678) 293-6162
- **Mailing address:** 550 PEACHTREE ST NE, SUITE 1285, ATLANTA, GA 30308-2247
- **Mailing address phone:** (678) 293-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 058898 | GA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 02/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 058898 | GA LICENSE | GA |