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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1316204498


NPI Information

NPI: 1316204498
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:
130 CANAL ST
SUITE 601
POOLER, GA
ZIP 31322
Phone: (912) 927-6270
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC is a pulmonary disease internal medicine in Pooler, 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 1316204498. 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:

130 CANAL ST
SUITE 601
POOLER, GA
ZIP 31322-085
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 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000148519AMEDICAIDGEORGIA
2000914922AMEDICAIDGEORGIA
3000526336AMEDICAIDGEORGIA
4202I294672MEDICARE PINGEORGIA
511SCHRFMEDICARE PINGEORGIA
6487007710AMEDICAIDGEORGIA
729BDBXPMEDICARE PINGEORGIA
8202I114674MEDICARE PINGEORGIA
9696088793AMEDICAIDGEORGIA
1029BDCFNMEDICARE PINGEORGIA
11000788818GMEDICAIDGEORGIA
1211BDWLVMEDICARE 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: 5/5/2024

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