National Provider Identifier Database

LUNG SLEEP SPECIALIST LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

LUNG & SLEEP SPECIALIST, LLC
1210 BROADRICK DR
DALTON, GA30720-2676
Phone: 706-277-4799
Fax: 706-277-5054
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LUNG & SLEEP SPECIALIST, LLC

NPI Number 1639598089
Legal business name
LBN
LUNG & SLEEP SPECIALIST, LLC
Authorized official SHAHEEN NOORANI - (OWNER/MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/14/2014
Last updated 04/14/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 042678
  • GA Medicaid: 000744906C
  • GA Other: 29BDCBJ MEDICARE PTAN

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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