Provider Demographics
NPI:1407038052
Name:SLEEP USA
Entity Type:Organization
Organization Name:SLEEP USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-387-0263
Mailing Address - Street 1:PO BOX 1648
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-1648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:229-387-8631
Practice Address - Street 1:820 LOVE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-4071
Practice Address - Country:US
Practice Address - Phone:229-387-0263
Practice Address - Fax:229-387-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic