1366064164 NPI number — SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366064164 NPI number — SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366064164
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 14417
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31416-1417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-721-5167
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1745 CITY CIRCLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAXLEY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31513-7059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-927-6270
Provider Business Practice Location Address Fax Number:
912-927-6254
Provider Enumeration Date:
05/14/2020

Additional Information

Authorized Official

Authorized Official Last Name:
YOUNG
Authorized Official First Name:
APRIL
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
912-721-5150

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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