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 |