Provider Demographics
NPI:1275864571
Name:SLEEP CENTER OF HERMITAGE, PLLC
Entity Type:Organization
Organization Name:SLEEP CENTER OF HERMITAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-893-4896
Mailing Address - Street 1:1725 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2247
Mailing Address - Country:US
Mailing Address - Phone:615-893-4896
Mailing Address - Fax:615-893-4821
Practice Address - Street 1:515 STONECREST PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6826
Practice Address - Country:US
Practice Address - Phone:615-220-0366
Practice Address - Fax:615-220-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty