Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | GEORGIA LUNG ASSOCIATES · Georgia Lung Associates, PC | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
NPI | 1104989136 | [sources] | |||
Registration number | not available | [sources] | |||
Sector | INDEPENDENT LAB | [sources] | |||
Tax Number | 581637090 | [sources] | |||
Address | (GA), (GA) · 3820 MEDICAL PARK AVENUE, AUSTELL, GA 30106 | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Providers who have been terminated for cause from Georgia's Medicaid program.
United States of America · DCH
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-medga-ece918c6a31500e64e6a2e5b1d2e100848954893
· us-medpa-91bb9d80ab94a0af099910f859502605974496c8
· us-mednj-f22b578c04c0a709eaec0f7257aa82919632be11
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
3820 MEDICAL PARK AVENUE, AUSTELL, GA 30106 | United States of America |
United States of America | New Jersey Office of the State Comptroller | - | - |
United States of America | Georgia Department of Community Health | - | - |
(GA), (GA) · GA, GA | United States of America |