# UNIVERSAL LUNG ASSOCIATES

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

## Provider details

- **NPI number:** 1770881021
- **Authorized official:** DR. OLUFUNSHO OLADIPO BANKOLE M.D (MANAGER/OWNER)
- **Authorized official phone:** (806) 290-0485

## Contact information

- **Practice address:** 550 PEACHTREE ST NE, SUITE 1285, ATLANTA, GA 30308-2208
- **Practice address phone:** (404) 856-3216
- **Mailing address:** 550 PEACHTREE ST NE, SUITE 1285, ATLANTA, GA 30308-2208
- **Mailing address phone:** (404) 856-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 58391 | GA | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011