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SOUTHERN LUNG SPECIALISTS PC NPI 1821440819


NPI Information

NPI: 1821440819
Provider Name: SOUTHERN LUNG SPECIALISTS PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 11D2252212

Address:
770 PINE ST
SUITE 560
MACON, GA
ZIP 31201
Phone: (478) 745-9998
Get Directions

SOUTHERN LUNG SPECIALISTS PC is a pulmonary disease internal medicine in Macon, 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. SOUTHERN LUNG SPECIALISTS PC NPI is 1821440819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

770 PINE ST
SUITE 560
MACON, GA
ZIP 31201-569
Phone: (478) 745-9998
Fax: (478) 745-9981

The provider's authorized official is Gerald Tarriah .
The authorized official title is Md and has the following contact phone number (478) 745-9998.

The CLIA number assigned to this NPI record is 11D2252212 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2016 and was last updated on 10/7/2016.


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
1DW7232OTHERGEORGIARAILROAD MEDICARE PTAN
2202G701123MEDICARE 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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