Statements: GEORGIA LUNG

Canonical ID: NK-5ipQKVzkpfVCzevriFr63S · Entity type: Company (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`LegalEntity:address`	3820 MEDICAL PARK AVENUE, AUSTELL, GA 30106	eng	us_nj_med_exclusions	`us-mednj-ae7fa0d47843976f9718d5f111902a719cdc71b3`	2025-11-15
`Company:address`	(GA), (GA)		us_pa_med_exclusions	`us-medpa-91bb9d80ab94a0af099910f859502605974496c8`	2024-11-29
`Organization:address`	3820 MEDICAL PARK DRIVE, AUSTELL, GA 301061110		ext_us_cms_npi	`us-npi-1104989136`	2026-02-04