Georgia Lung Associates PC
Internal Medicine, Pulmonary Disease in Austell, GA. Organization (NPI-2).
NPI number1104989136
StatusActive
Last updated in NPPESApr 9, 2012
Details
- NPI
- 1104989136
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Lung Associates PC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Apr 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
Practice location
3820 Medical Park DriveAustell, GA 30106-1110
Phone 770-948-6041 · Fax 770-948-2736
Mailing address
3820 Medical Park DriveAustell, GA 30106-1110
Phone 770-948-6041 · Fax 770-948-2736
Authorized official
Anthony Broyles
Ceo
7709486774
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