Provider Demographics
NPI:1114287315
Name:ASHLEY SLEEP & DIAGNOSTICS
Entity Type:Organization
Organization Name:ASHLEY SLEEP & DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:REARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-760-0069
Mailing Address - Street 1:PO BOX 51694
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-1694
Mailing Address - Country:US
Mailing Address - Phone:843-760-0069
Mailing Address - Fax:843-760-0047
Practice Address - Street 1:3255 LANDMARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-8461
Practice Address - Country:US
Practice Address - Phone:843-793-2556
Practice Address - Fax:843-410-5743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic