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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1104183268


NPI Information

NPI: 1104183268
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:
11909 MCAULEY DR
PLAZA C, SUITE A-1
SAVANNAH, GA
ZIP 31419
Phone: (912) 927-6270
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 1104183268. 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:

11909 MCAULEY DR
PLAZA C, SUITE A-1
SAVANNAH, GA
ZIP 31419-793
Phone: (912) 927-6270
Fax: (912) 927-6254

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 4/13/2012 and was last updated on 4/30/2014.


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
1696088793AMEDICAIDGEORGIA
2000788818GMEDICAIDGEORGIA
311SCHRFMEDICARE PINGEORGIA
4487007710AMEDICAIDGEORGIA
511BDWLVMEDICARE PINGEORGIA
6000148519AMEDICAIDGEORGIA
7000914922AMEDICAIDGEORGIA
8202I114674MEDICARE PINGEORGIA
9202I294672MEDICARE PINGEORGIA
10000526336AMEDICAIDGEORGIA
1129BDBXPMEDICARE PINGEORGIA
1229BDCFNMEDICARE 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

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