Provider Demographics
NPI:1164704391
Name:SLEEPMED OF CENTRAL GEORGIA
Entity Type:Organization
Organization Name:SLEEPMED OF CENTRAL GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP/CAO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:R
Authorized Official - Last Name:IBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-536-7400
Mailing Address - Street 1:200 CORPORATE PL
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3840
Mailing Address - Country:US
Mailing Address - Phone:978-536-6132
Mailing Address - Fax:978-536-6312
Practice Address - Street 1:606 CHERRY ST
Practice Address - Street 2:SUITE 440
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2624
Practice Address - Country:US
Practice Address - Phone:478-742-7361
Practice Address - Fax:478-742-7807
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEPMED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies