# SOUTH GEORGIA LUNG SPECIALISTS,PC

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

## Provider details

- **NPI number:** 1700898871
- **Authorized official:** DR. MANEL DINESH NAYAK M.D. (PRESIDENT-CORPORATION)
- **Authorized official phone:** (912) 287-0333

## Contact information

- **Practice address:** 1406 HABERSHAM DR, WAYCROSS, GA 31501-5306
- **Practice address phone:** (912) 287-0333
- **Mailing address:** PO BOX 1525, WAYCROSS, GA 31502-1525
- **Mailing address phone:** (912) 287-0333

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 04/07/2015