NPI | 1528578028 |
---|---|
Doing Business As | SOUTHEAST LUNG ASSOCIATES |
Entity Type | Organization |
Authorized Contact | APRIL YOUNG Administrator 912-721-5167 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |