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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI 1457501967


NPI Information

NPI: 1457501967
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Classification: Sleep Specialist, PhD - 173F00000X
Entity Type: Organization
Address:
1111 GLYNCO PKWY
SUITE 410
BRUNSWICK, GA
ZIP 31525
Phone: (912) 262-0611
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS is a sleep specialist phd in Brunswick, GA. The provider is 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. SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI is 1457501967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 GLYNCO PKWY
SUITE 410
BRUNSWICK, GA
ZIP 31525-921
Phone: (912) 262-0611
Fax: (912) 262-0881

The provider's authorized official is April Young .
The authorized official title is Administration and has the following contact phone number (912) 354-6614.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 2/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173F00000XSleep Specialist, PhD036358GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP3039MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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