Healthcare Provider Details

I. General information

NPI: 1134121031
Provider Name (Legal Business Name): PULMONARY & SLEEP SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 N DECATUR RD STE 230
DECATUR GA
30033-6149
US

IV. Provider business mailing address

2665 N DECATUR RD STE 230
DECATUR GA
30033-6149
US

V. Phone/Fax

Practice location:
  • Phone: 404-499-0533
  • Fax: 404-499-0531
Mailing address:
  • Phone: 404-499-0533
  • Fax: 404-499-0531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK POLLOCK
Title or Position: PRESIDENT
Credential: MD
Phone: 404-499-0533