Organization Name: | COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC |
NPI Number: | 1194949248 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADEWUMI O OGUNTUMIBI (CEO/MD) |
Mailing Address: | 411 Stephenson Ave Savannah |
State: | GA US |
Postal Code: | 314055968 |
Phone Number: | 9123547679 |
Fax Number: | 9123544018 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 049393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |