Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, P.C.
Active
Other names
Southeast Lung Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL YOUNG (PRACTICE ADMINISTRATOR)
(912) 629-0457
Entity
Organization
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 629-2290
(912) 629-2291
Mailing address
PO BOX 14417, SAVANNAH, GA 31416-1417
(912) 629-2290
(912) 629-2291
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000148519L
—
GA
05
—
000272709E
—
GA
05
—
000473833F
—
GA
05
—
000526336A
—
GA
05
—
000788818L
—
GA
05
—
000914922A
—
GA
05
—
003112189A
—
GA
05
—
487007710A
—
GA
05
—
696088793A
—
GA
Enumeration date
03/21/2012
Last updated
11/10/2021
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