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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1629342845


NPI Information

NPI: 1629342845
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

Doing Business As: SOUTHEAST LUNG ASSOCIATES

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
5353 REYNOLDS ST
4 SOUTH
SAVANNAH, GA
ZIP 31405
Phone: (912) 629-2290
Get Directions

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC is a pulmonary disease internal medicine in Savannah, GA. The provider is 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. SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC NPI is 1629342845. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeast Lung Associates.

The provider's business location address is:

5353 REYNOLDS ST
4 SOUTH
SAVANNAH, GA
ZIP 31405-015
Phone: (912) 629-2290
Fax: (912) 629-2291

The provider's authorized official is April Young .
The authorized official title is Practice Administrator and has the following contact phone number (912) 629-0457.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 7/17/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202I294675MEDICARE PINGEORGIA
211BDWLVMEDICARE PINGEORGIA
311SCHRFMEDICARE PINGEORGIA
4696088793AMEDICAIDGEORGIA
5000526336AMEDICAIDGEORGIA
6000272709EMEDICAIDGEORGIA
7487007710AMEDICAIDGEORGIA
8000473833FMEDICAIDGEORGIA
9000788818LMEDICAIDGEORGIA
1029BDBZWMEDICARE PINGEORGIA
11000148519LMEDICAIDGEORGIA
12202I294672MEDICARE PINGEORGIA
1329BDBXPMEDICARE PINGEORGIA
14000914922AMEDICAIDGEORGIA
15202I114674MEDICARE PINGEORGIA
1629BDCFNMEDICARE PINGEORGIA
17003112189AMEDICAIDGEORGIA
18202I819060MEDICARE PINGEORGIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.