Organization · NPI-2

Sleep USA

Clinic/Center, Sleep Disorder Diagnostic · Tifton, GA

NPI number1407038052
StatusActive
Last updated in NPPESDec 5, 2007

Details

NPI
1407038052
Entity type
Organization (NPI-2)
Legal business name
Sleep USA
Organization subpart
No
Enumeration date
Dec 5, 2007
Last updated
Dec 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

820 Love Ave
Suite E
Tifton, GA 31794-4071

Phone 229-387-0263 · Fax 229-387-8631

Mailing address

Po Box 1648
Tifton, GA 31793-1648

Fax 229-387-8631

Authorized official

Jeffrey Kevin Daniel
President
2293870263

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