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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI 1164711818


NPI Information

NPI: 1164711818
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
515 E WINTHROPE AVE
MILLEN, GA
ZIP 30442
Phone: (912) 354-6614
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS is a sleep medicine internal medicine in Millen, GA. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI is 1164711818. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

515 E WINTHROPE AVE
MILLEN, GA
ZIP 30442-818
Phone: (912) 354-6614
Fax: (912) 356-9078

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 enumeration date for this NPI number is 4/4/2011 and was last updated on 4/4/2011.


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
1207RP1001XInternal MedicinePulmonary Disease36358GEORGIANo
2207RS0012XInternal MedicineSleep Medicine36358GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A53401MEDICARE UPINGEORGIA
26167MEDICARE PINGEORGIA
3CI9902OTHERGEORGIARAILROAD MEDICARE
4G43370MEDICARE UPINGEORGIA
5CI7230OTHERGEORGIARAILROAD MEDICARE
6GRP3039MEDICARE PINGEORGIA
7E60737MEDICARE UPINGEORGIA
8G69315MEDICARE UPINGEORGIA

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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