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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1568884120


NPI Information

NPI: 1568884120
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:
340 HODGSON CT
SUITE #3
SAVANNAH, GA
ZIP 31406
Phone: (912) 629-2290
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC is a sleep medicine internal medicine in Savannah, 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 1568884120. 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:

340 HODGSON CT
SUITE #3
SAVANNAH, GA
ZIP 31406-520
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 1/15/2014 and was last updated on 5/2/2014.


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
1207RS0012XInternal 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
1000914922AMEDICAIDGEORGIA
2487007710AMEDICAIDGEORGIA
3202I294672MEDICARE PINGEORGIA
4000148519LMEDICAIDGEORGIA
5202I114674MEDICARE PINGEORGIA
6000526336AMEDICAIDGEORGIA
7000788818LMEDICAIDGEORGIA
8696088793AMEDICAIDGUAM
929BDCFNMEDICARE PINGEORGIA
1029BDBXPMEDICARE PINGEORGIA
1111BDWLVMEDICARE PINGEORGIA
1211SCHRFMEDICARE 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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