| NPI | 1902134786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS SHAWN SHORT Owner 678-736-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: GA 1004) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |