Provider Demographics
NPI:1376189464
Name:TENNESSEE SLEEP MANAGEMENT, LLC
Entity Type:Organization
Organization Name:TENNESSEE SLEEP MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-300-4121
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:TN
Mailing Address - Zip Code:38063-0435
Mailing Address - Country:US
Mailing Address - Phone:731-413-8490
Mailing Address - Fax:
Practice Address - Street 1:872 WILLOW TREE CIR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-8845
Practice Address - Country:US
Practice Address - Phone:731-300-4121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENNESSEE SLEEP MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-23
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic