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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS NPI 1265755839


NPI Information

NPI: 1265755839
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
895 S 1ST ST
JESUP, GA
ZIP 31545
Phone: (912) 530-8190
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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS is a sleep medicine internal medicine in Jesup, 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 1265755839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

895 S 1ST ST
JESUP, GA
ZIP 31545-210
Phone: (912) 530-8190
Fax: (912) 530-8191

The provider's authorized official is April R Young .
The authorized official title is Administrator and has the following contact phone number (912) 354-6614.

The enumeration date for this NPI number is 3/10/2010 and was last updated on 3/10/2010.


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
1207RS0012XInternal MedicineSleep Medicine036358GEORGIAYes

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
2000526336AMEDICAIDGEORGIA

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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