Organization
SOUTH GEORGIA LUNG SPECIALISTS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANEL DINESH NAYAK M.D. (PRESIDENT-CORPORATION)
(912) 287-0333
Entity
Organization
Contact information
Practice address
1406 HABERSHAM DR, WAYCROSS, GA 31501-5306
(912) 287-0333
Mailing address
PO BOX 1525, WAYCROSS, GA 31502-1525
(912) 287-0333
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034294A
—
GA
Enumeration date
08/13/2006
Last updated
04/07/2015
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