| NPI | 1144284662 |
|---|---|
| Doing Business As | MID SOUTH SLEEP DISORDERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELIA C INGRAM Owner President 731-664-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-09-21 |