# SOUTHERN LUNG SPECIALISTS PC

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

## Provider details

- **NPI number:** 1821440819
- **Authorized official:** GERALD TARRIAH (MD)
- **Authorized official phone:** (478) 745-9998

## Contact information

- **Practice address:** 770 PINE ST, SUITE 560, MACON, GA 31201-7569
- **Practice address phone:** (478) 745-9998
- **Practice address fax:** (478) 745-9981
- **Mailing address:** 770 PINE ST, SUITE 560, MACON, GA 31201-7569
- **Mailing address phone:** (478) 745-9998
- **Mailing address fax:** (478) 745-9981

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2016
- **Last updated:** 10/07/2016