Southeast Lung & Critical Care Specialists

NPI #1689998536 in Sylvania, Georgia

Provider Information

NPI Number
1689998536
Entity Type
Organization
Organization Name
Southeast Lung & Critical Care Specialists
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Mar 22, 2010
Last Updated
Mar 22, 2010

Practice Location

Address
209C MIMS RD
State
Georgia
ZIP Code
30467-1994
Phone
(912) 564-5977

Authorized Official

Name
MARIA MASCOLO III, M.D.
Title
PARTNER
Phone
(912) 354-6614

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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