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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1134541550


NPI Information

NPI: 1134541550
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

Doing Business As: SOUTHEAST LUNG ASSOCIATES

Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
1450 54TH ST
SUITE D
COLUMBUS, GA
ZIP 31904
Phone: (912) 629-2290
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC is a sleep medicine internal medicine in Columbus, GA. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC NPI is 1134541550. 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:

1450 54TH ST
SUITE D
COLUMBUS, GA
ZIP 31904-476
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 1/21/2014 and was last updated on 1/21/2014.


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 DiseaseNo
2207RS0012XInternal MedicineSleep MedicineYes

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
129BDBXPMEDICARE PINGEORGIA
2000526336AMEDICAIDGEORGIA

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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