Organization
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Active
Other names
Southeast Lung Associates
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL YOUNG (PRACTICE ADMINISTRATOR)
(912) 629-0457
Entity
Organization
Contact information
Practice address
960 COLLEGE AVE, MILLEN, GA 30442-1634
(912) 629-2290
(912) 629-2291
Mailing address
340 EISENHOWER DR, BLDG #1500, SAVANNAH, GA 31406-1600
(912) 354-6614
(912) 353-7836
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000526336T
—
GA
05
—
003105926A
—
GA
Enumeration date
04/18/2012
Last updated
04/18/2012
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