| NPI | 1689977761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBODH KUMAR AGRAWAL Medical Director 706-613-6990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: GA 028344) |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: GA 028344) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-12-29 |