Active NPI
Sec Lung LLC
- Pulmonary Disease Physician
- Andalusia, AL
National Provider Identifier
1659501906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- SEC LUNG LLC
- Practice address
- 822 S Three Notch St
Ste B
Andalusia, AL 36420-5310 - Phone
- (888) 681-5864
- Fax
- (334) 222-6633
- NPI assigned
- Jul 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert I Garver Jr., MD
- Title
- Owner
- Phone
- (888) 681-5864
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
822 S Three Notch St
Ste B
Andalusia, AL 36420-5310
Mailing address
822 S Three Notch St
Ste B
Andalusia, AL 36420-5310
Phone (888) 681-5864
National Provider Directory
National Provider DirectoryLocations
109 Medical Park Dr
Andalusia, AL 36420
Phone (888) 681-5864
822 S Three Notch St
#B
Andalusia, AL 36420
Phone (334) 504-7014
1121 Belleville Ave
#B
Brewton, AL 36426
Phone (888) 681-5864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1659501906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 S THREE NOTCH ST",
"address_2": "STE B",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205310",
"telephone_number": "888-681-5864",
"fax_number": "334-222-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 S THREE NOTCH ST",
"address_2": "STE B",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205310",
"telephone_number": "888-681-5864",
"fax_number": "334-222-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEC LUNG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "GARVER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-681-5864",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.