Organization
SOUTHEST LUNG & CRITICAL CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A DALY III MD (CEO)
(912) 354-6614
Entity
Organization
Contact information
Practice address
1821B OLD OCILLA ROAD, TIFTON, GA 31794
(912) 354-6614
(912) 356-9078
Mailing address
340 EISENHOWER DR, BUILDING 1500, SAVANNAH, GA 31406-1600
(912) 354-6614
(912) 356-9078
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
036358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI7230
RAILROAD MEDICARE
GA
01
—
CI9902
RAILROAD MEDICARE
SC
Enumeration date
06/25/2010
Last updated
06/25/2010
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