| NPI | 1104120542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SCOTT EALY Chief Manager 901-758-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |