Elite Sleep Professionals LLC
Clinic/Center, Sleep Disorder Diagnostic in Bremen, GA. Organization (NPI-2).
NPI number1902554033
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1902554033
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Sleep Professionals LLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2022
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
211 Field StBremen, GA 30110-2048
Phone 770-538-1624 · Fax 770-299-4349
Mailing address
211 Field StBremen, GA 30110-2048
Phone 770-538-1624 · Fax 770-299-4349
Authorized official
Tina Garrett
Ceo
7705381624
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