NPI | 1659318574 |
---|---|
Doing Business As | THE REGGIE WHITE SLEEP DISORDER CENTER - DESOTO |
Entity Type | Organization |
Authorized Contact | DEREK EVIN DENMAN CEO/President 901-246-0767 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MS 2068) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2009-12-02 |