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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS P.C. NPI 1023383247


NPI Information

NPI: 1023383247
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, P.C.

Doing Business As: SOUTHEAST LUNG ASSOCIATES

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
11705 MERCY BLVD
SAVANNAH, GA
ZIP 31419
Phone: (912) 629-2290
Get Directions

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, P.C. 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, P.C. NPI is 1023383247. 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:

11705 MERCY BLVD
SAVANNAH, GA
ZIP 31419-711
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 3/21/2012 and was last updated on 11/10/2021.


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
1487007710AMEDICAIDGEORGIA
2000526336AMEDICAIDGEORGIA
3000914922AMEDICAIDGEORGIA
4696088793AMEDICAIDGEORGIA
5000788818LMEDICAIDGEORGIA
6003112189AMEDICAIDGEORGIA
7000473833FMEDICAIDGEORGIA
8000148519LMEDICAIDGEORGIA
9000272709EMEDICAIDGEORGIA

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

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