NPI | 1629032149 |
---|---|
Doing Business As | DEEP SOUTH SLEEP DISORDERS CLINIC |
Entity Type | Organization |
Authorized Contact | REBECCA ESTELLE GAYLORD Office Manager 225-925-3357 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2006-04-13 |
Last Update Date | 2012-05-31 |