Organization
SOUTHEAST 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
515 E WINTHROPE AVE, MILLEN, GA 30442-1818
(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
207RP1001X
Pulmonary Disease Physician
36358
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
36358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI7230
RAILROAD MEDICARE
GA
01
—
CI9902
RAILROAD MEDICARE
GA
Enumeration date
04/04/2011
Last updated
04/04/2011
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