# ATLANTIC LUNG CENTER INC

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

## Provider details

- **NPI number:** 1841324639
- **Authorized official:** IYABO F MURAINA (BUSINESS AMANGER)
- **Authorized official phone:** (478) 744-9603

## Contact information

- **Practice address:** 560 1ST ST, MACON, GA 31201-2824
- **Practice address phone:** (478) 744-9603
- **Practice address fax:** (478) 744-9552
- **Mailing address:** PO BOX 24299, MACON, GA 31212-4299
- **Mailing address phone:** (478) 744-9603
- **Mailing address fax:** (478) 744-9552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 044029 | GA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020