Southest Lung & Critical Care Specialists

LBN: Southest Lung & Critical Care Specialists
Southest Lung & Critical Care Specialists is an health care organization with primary practice located at 1821B Old Ocilla Road , Tifton GA 31794. The organization recently has only one registered license in Other Service Providers / Sleep Specialist, PhD, which is considered as the primary health care specialty. Southest Lung & Critical Care Specialists can be contacted via phone (912) 354-6614, or through Daly, James A via phone (912) 354-6614.

Contact Information

Primary practice address
1821B Old Ocilla Road Tifton GA 31794
Phone: (912) 354-6614
Fax: (912) 356-9078
Website:
Map and Directions
Authorized official contact:
Name: Daly, James A Doctor of Medicine (MD)
Phone: (912) 354-6614

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Sleep Specialist, PhD 173F00000X 036358 Georgia

Profile Details

NPI number 1043521859
LBN Legal business name Southest Lung & Critical Care Specialists
DBA Doing business as
Authorized official Daly, James A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2010
Last updated Jun 25th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043521859 NPPES
South Carolina Other CI9902 RAILROAD MEDICARE
South Carolina Other CI7230 RAILROAD MEDICARE

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