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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 Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Specialist, PhD

173F00000X
Indicates primary specialty

NPI Profile & details for SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

NPI # 1053640367
LBN Legal business name SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Authorized official APRIL YOUNG - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2009
Last updated 12/15/2009 - About 16 years ago
Identifiers
GA License # 032635
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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