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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI 1972788081


NPI Information

NPI: 1972788081
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 11D1001895

Address:
447 B. WEST GENERAL SCREVEN WAY
HINESVILLE, GA
ZIP 31313
Phone: (912) 877-4079
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS is a sleep disorder diagnostic clinic center in Hinesville, GA. SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI is 1972788081. The provider is registered as an organization entity type.

The provider's business location address is:

447 B. WEST GENERAL SCREVEN WAY
HINESVILLE, GA
ZIP 31313
Phone: (912) 877-4079
Fax: (912) 877-4089

The provider's authorized official is James A Daly .
The authorized official title is Ceo and has the following contact phone number (912) 354-6614.

The CLIA number assigned to this NPI record is 11D1001895 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 1/8/2008.


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
1261QS1200XClinic/CenterSleep Disorder Diagnostic036358GEORGIAYes

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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