| NPI | 1538768296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHANE MOBLEY President 478-972-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 293D00000X Physiological Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |