| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | GEORGIA LUNG ASSOCIATES · Georgia Lung Associates, PC | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1104989136 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | INDEPENDENT LAB | [sources] | |||
| Tax Number | 581637090 | [sources] | |||
| Address | (GA), (GA) | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Providers who have been terminated for cause from Georgia's Medicaid program.
United States · DCH
us-medga-ece918c6a31500e64e6a2e5b1d2e100848954893 · us-mednj-f22b578c04c0a709eaec0f7257aa82919632be11 · us-medpa-91bb9d80ab94a0af099910f859502605974496c8For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Georgia Department of Community Health | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| (GA), (GA) · GA, GA | United States | |
| United States | Department of Human Services | - | - |