Organization Name: | LUNG CARE SPECIALISTS PC |
NPI Number: | 1346392339 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLUMUYIWA JOSHUA (PHYSICIAN) |
Mailing Address: | 1265 Highway 54 W Suite 500d Fayetteville |
State: | GA US |
Postal Code: | 302144548 |
Phone Number: | 6786135554 |
Fax Number: | 6788177125 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 056185 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |