Provider Demographics
NPI:1467811760
Name:ASHBURN LUNG SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:ASHBURN LUNG SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ASHBURN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-510-7771
Mailing Address - Street 1:4700 BATTLEFIELD PKWY
Mailing Address - Street 2:SUITE 360
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-5166
Mailing Address - Country:US
Mailing Address - Phone:706-841-0050
Mailing Address - Fax:706-841-0052
Practice Address - Street 1:4700 BATTLEFIELD PKWY
Practice Address - Street 2:SUITE 360
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5166
Practice Address - Country:US
Practice Address - Phone:706-841-0050
Practice Address - Fax:706-841-0052
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHBURN LUNG SPECIALISTS, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-15
Last Update Date:2016-02-16
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