Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Active
Other names
Southeast Lung Associates
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILLIAMS (CFO)
(912) 927-6270
Entity
Organization
Contact information
Practice address
340 HODGSON CT, SUITE #2, SAVANNAH, GA 31406-1520
(912) 629-2290
(912) 629-2291
Mailing address
340 HODGSON CT, SUITE #2, SAVANNAH, GA 31406-1520
(912) 629-2290
(912) 629-2291
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000473833F
—
GA
05
—
000526336A
—
GA
Enumeration date
02/20/2014
Last updated
02/20/2014
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