Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL YOUNG (PRACTICE MANAGER)
(912) 354-6614
Entity
Organization
Contact information
Practice address
163 E TOLLISON ST, BAXLEY, GA 31513-0120
(912) 354-6614
(912) 356-9078
Mailing address
340 EISENHOWER DR, BLDG. 1500, SAVANNAH, GA 31406-1600
(912) 354-6614
(912) 356-9078
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
032635
GA
207RP1001X
Pulmonary Disease Physician
Primary
032635
GA
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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