Organization
LUNG ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYCEE NICHOLE PRICE (OFFICE MANAGER)
(912) 267-7607
Entity
Organization
Contact information
Practice address
3222 SHRINE RD, SUITE B, BRUNSWICK, GA 31520-4325
(912) 267-7607
(912) 261-2800
Mailing address
3222 SHRINE RD, SUITE B, BRUNSWICK, GA 31520-4325
(912) 267-7607
(912) 261-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK8179
RAILROAD MEDICARE
GA
Enumeration date
11/01/2006
Last updated
03/31/2008
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