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Organization

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER STRICKLAND (ADMIN)
(912) 354-6614
Entity
Organization

Contact information

Practice address
131 MEMORIAL DR, REIDSVILLE, GA 30453-4641
(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
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI7230
RAILROAD MEDICARE
GA
01
CI9902
RAILROAD MEDICARE
GA
Enumeration date
01/28/2011
Last updated
01/28/2011
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