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
1900 TEBEAU ST, MAYO HEALTH CLINIC, WAYCROSS, GA 31501-6357
(912) 629-2290
(912) 629-2291
Mailing address
PO BOX 14417, SAVANNAH, GA 31416-1417
(912) 629-2290
(912) 629-2291
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000473833F
—
GA
Enumeration date
07/02/2013
Last updated
04/30/2014
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