Organization
ATLANTIC LUNG CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYABO F MURAINA (BUSINESS AMANGER)
(478) 744-9603
Entity
Organization
Contact information
Practice address
560 1ST ST, MACON, GA 31201-2824
(478) 744-9603
(478) 744-9552
Mailing address
PO BOX 24299, MACON, GA 31212-4299
(478) 744-9603
(478) 744-9552
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
044029
GA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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