Southeast Lung & Critical Care Specialists, PC
Organization Active NPI Pulmonary Disease Physician · Savannah, GA
NPI 1205193398 · NPPES record last updated Jul 17, 2014
Key facts
- NPI
- 1205193398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
- Practice address
- 11706 Mercy Blvd
BLDG #4
Savannah, GA 31419-1751 - Phone
- (912) 927-6270
- Fax
- (912) 927-6254
- NPI assigned
- Apr 13, 2012
- Organization subpart
- No
Authorized official
- Name
- April Young
- Title
- Practice Administrator
- Phone
- (912) 629-0457
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- Southeast Lung Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | Yes |
Addresses
Primary practice location
11706 Mercy Blvd
BLDG #4
Savannah, GA 31419-1751
Mailing address
PO Box 14417
Savannah, GA 31416-1417
Phone (912) 629-2290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 487007710A | Medicaid | GA | |
| 000526336A | Medicaid | GA | |
| 000914922A | Medicaid | GA | |
| 000788818L | Medicaid | GA | |
| 000148519L | Medicaid | GA | |
| 696088793A | Medicaid | GA |
Other names
- Southeast Lung Associates
Other providers in Savannah, GA
- Southeast Lung & Critical Care Specialists, P.C.
- Southeast Lung & Critical Care Specialists, P.C.
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung & Critical Care Specialists, PC
All providers in Savannah, 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 Jul 17, 2014. 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.