| NPI | 1477625051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A MICKELSON Physician 404-705-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: GA 159916) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-01-09 |