Provider Demographics
NPI:1043270697
Name:PULMONARY MEDICINE INC
Entity type:Organization
Organization Name:PULMONARY MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ECE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-289-8400
Mailing Address - Street 1:5900 RIVER RD STE 402
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-4579
Mailing Address - Country:US
Mailing Address - Phone:706-660-9499
Mailing Address - Fax:706-660-9343
Practice Address - Street 1:5900 RIVER RD STE 402
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-4579
Practice Address - Country:US
Practice Address - Phone:706-660-9499
Practice Address - Fax:706-660-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00763243DMedicaid
GA00763243DMedicaid
GA29BDCJHMedicare ID - Type Unspecified