| NPI | 1366064164 |
|---|---|
| Doing Business As | SOUTHEAST LUNG ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | APRIL YOUNG Administrator 912-721-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |