Organization
LUNG CARE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMUYIWA JOSHUA MD FCCP (PHYSICIAN)
(678) 613-5554
Entity
Organization
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 500D, FAYETTEVILLE, GA 30214-4548
(678) 613-5554
(678) 817-7125
Mailing address
PO BOX 2231, PEACHTREE CITY, GA 30269-0231
(678) 613-5554
(678) 817-7125
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
056185
GA
207RP1001X
Pulmonary Disease Physician
056185
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
056185
GA
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
056185
GA
Other
Enumeration date
01/18/2007
Last updated
10/08/2015
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