Southeast Lung & Critical Care Specialists
Organization Active NPI Pulmonary Disease Physician · Baxley, GA
NPI 1053640367 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1053640367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 032635 (GA)
- Legal business name
- SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
- Practice address
- 163 E Tollison St
Baxley, GA 31513-0120 - Phone
- (912) 354-6614
- Fax
- (912) 356-9078
- NPI assigned
- Dec 15, 2009
- Organization subpart
- No
Authorized official
- Name
- April Young
- Title
- Practice Manager
- Phone
- (912) 354-6614
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- Southeast Lung Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Specialist (PhD) |
173F00000X | 032635 | GA | |
| Pulmonary Disease Physician |
207RP1001X | 032635 | GA | Yes |
Addresses
Primary practice location
163 E Tollison St
Baxley, GA 31513-0120
Mailing address
340 Eisenhower Dr
BLDG. 1500
Savannah, GA 31406-1600
Phone (912) 354-6614
Other providers in Baxley, GA
- Beth D Smith
- Joshua Poppell Smith
- Stanley N Smith
- Wanda G. Smith
- South Georgia Chiropractic
- Southeast Lung & Critical Care Specialists
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC.
- Southern Family Walk-in
- Southern Healthcare Collaboration, Inc
All providers in Baxley, GA · Pulmonary Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.