National Provider Identifier Database

SOUTHEAST LUNG CRITICAL CARE SPECIALISTS
Pulmonary Disease

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.


Contact Information

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
163 E TOLLISON ST
BAXLEY, GA31513-0120
Phone: 912-354-6614
Fax: 912-356-9078
Website:
Specialty Taxonomy Code
* Pulmonary Disease 207RP1001X
Sleep Specialist, PhD 173F00000X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

NPI Number 1053640367
Legal business name
LBN
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Authorized official APRIL YOUNG - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 12/15/2009
Last updated 12/15/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 032635

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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