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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1770989154


NPI Information

NPI: 1770989154
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:
800 EAST 68TH STREET
LANDMARK HOSPITAL
SAVANNAH, GA
ZIP 31405
Phone: (912) 629-2290
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 1770989154. 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:

800 EAST 68TH STREET
LANDMARK HOSPITAL
SAVANNAH, GA
ZIP 31405
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 11/12/2014 and was last updated on 5/5/2015.


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
1000148519LMEDICAIDGEORGIA
2000788818LMEDICAIDGEORGIA
329BDBXPMEDICARE PINGEORGIA
4202I114674MEDICARE PINGEORGIA
5696088793AMEDICAIDGEORGIA
6000526336AMEDICAIDGEORGIA
711SCHRFMEDICARE PINGEORGIA
8202I294672MEDICARE 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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