Organization
GEORGIA LUNG ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY BROYLES CEO (CEO)
(770) 948-6774
Entity
Organization
Contact information
Practice address
3820 MEDICAL PARK DRIVE, AUSTELL, GA 30106-1110
(770) 948-6041
(770) 948-2736
Mailing address
3820 MEDICAL PARK DRIVE, AUSTELL, GA 30106-1110
(770) 948-6041
(770) 948-2736
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
04/09/2012
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