Provider Demographics
NPI:1003396359
Name:NATIONS SLEEP DISORDER CENTERS LLC OF GEROGIA
Entity Type:Organization
Organization Name:NATIONS SLEEP DISORDER CENTERS LLC OF GEROGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-453-1325
Mailing Address - Street 1:1958-6 BOX 150 N COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061
Mailing Address - Country:US
Mailing Address - Phone:478-453-1325
Mailing Address - Fax:478-452-0256
Practice Address - Street 1:1202 HILLCREST PKWY STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3053
Practice Address - Country:US
Practice Address - Phone:478-275-1744
Practice Address - Fax:478-275-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic