SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI 1689998536

NPI Information

  • NPI: 1689998536
  • Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 209C MIMS RD
    SYLVANIA, GA
    ZIP 30467
  • Phone: (912) 564-5977

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NPI Details

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS is a pulmonary disease internal medicine in Sylvania, 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 NPI is 1689998536. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209C MIMS RD
SYLVANIA, GA
ZIP 30467-994
Phone: (912) 564-5977
Fax: (912) 564-1259

The provider's authorized official is Maria Mascolo .
The authorized official title is Partner and has the following contact phone number (912) 354-6614.

The enumeration date for this NPI number is 3/22/2010 and was last updated on 3/22/2010.

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 Disease052469GEORGIAYes

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
1487007710AMEDICAIDGEORGIA
2G69315MEDICARE UPINGEORGIA

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: 11/21/2025

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