Organization
GEORGIA PULMONARY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L MCCLESKEY (OFFICE MANAGER)
(770) 979-2062
Entity
Organization
Contact information
Practice address
1800 TREE LN, SUITE 200, SNELLVILLE, GA 30078-2016
(770) 979-0367
(770) 979-1830
Mailing address
1800 TREE LN, SUITE 200, SNELLVILLE, GA 30078-2016
(770) 979-0367
(770) 979-1830
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36567
GA
207RP1001X
Pulmonary Disease Physician
36567
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
36567
GA
Other
Enumeration date
10/17/2007
Last updated
05/18/2012
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