National Provider Identifier Database

SOUTHEAST LUNG CRITICAL CARE SPECIALISTS
Sleep Specialist, PhD

Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.


Contact Information

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
1111 GLYNCO PKWY
SUITE 410
BRUNSWICK, GA31525-7921
Phone: 912-262-0611
Fax: 912-262-0881
Website:
Specialty Taxonomy Code
* Sleep Specialist, PhD 173F00000X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

NPI Number 1457501967
Legal business name
LBN
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Authorized official APRIL YOUNG - (ADMINISTRATION)
Entity Organization
Organization subpart No
Enumeration date 09/22/2008
Last updated 02/17/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 036358
  • GA Medicaid: GRP3039

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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