Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANEY G ODOM (ADMINISTRATOR)
(843) 682-2934
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, SUITE 100, HARDEEVILLE, SC 29927-3447
(843) 208-3584
Mailing address
23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926-6606
(843) 682-2934
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26860
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
26860
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G44180
—
SC
Enumeration date
02/17/2011
Last updated
02/17/2011
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