Provider Demographics
NPI:1689745929
Name:HUNTSVILLE LUNG ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HUNTSVILLE LUNG ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUTHER
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:CORLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:256-533-6003
Mailing Address - Street 1:600 SAINT CLAIR AVE SW
Mailing Address - Street 2:BUILDING 8 SUITE 22
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5008
Mailing Address - Country:US
Mailing Address - Phone:256-533-6003
Mailing Address - Fax:
Practice Address - Street 1:600 SAINT CLAIR AVE SW
Practice Address - Street 2:BUILDING 8 SUITE 22
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5008
Practice Address - Country:US
Practice Address - Phone:256-533-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL280534OtherBLACK LUNG GROUP #
TN4401083Medicaid
AL1350620OtherUNITED MIND WORKERS GRP #
TN4401083Medicaid