Organization
SOUTHERN LUNG SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD TARRIAH (MD)
(478) 745-9998
Entity
Organization
Contact information
Practice address
770 PINE ST, SUITE 560, MACON, GA 31201-7569
(478) 745-9998
(478) 745-9981
Mailing address
770 PINE ST, SUITE 560, MACON, GA 31201-7569
(478) 745-9998
(478) 745-9981
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DW7232
RAILROAD MEDICARE PTAN
GA
Enumeration date
07/01/2016
Last updated
10/07/2016
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