Organization · NPI-2
Southeast Lung And Critical Care Specialist
Clinic/Center, Sleep Disorder Diagnostic · Jesup, GA
NPI number1629263330
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1629263330
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast Lung And Critical Care Specialist
- Organization subpart
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | GA | Yes |
Practice location
131 Peachtree StJesup, GA 31545-0211
Phone 912-354-6614 · Fax 912-356-9078
Mailing address
340 Eisenhower DrBldg. 1500
Savannah, GA 31406-1600
Phone 912-354-6614 · Fax 912-356-9078
Authorized official
Heather W. Strickland
Finanical Officer
9123546614
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