| NPI | 1447628789 |
|---|---|
| Doing Business As | SOUTHEAST LUNG ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | APRIL YOUNG Administrator 912-629-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 32635) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 36358) |
| 363A00000X Physician Assistant (Licence: GA 007191) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN181784) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN101700) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |