Provider Demographics
NPI:1356608681
Name:SLEEP AND LUNG HEALTH CENTER, PLLC
Entity type:Organization
Organization Name:SLEEP AND LUNG HEALTH CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:901-405-1005
Mailing Address - Street 1:8066 WALNUT RUN RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-8841
Mailing Address - Country:US
Mailing Address - Phone:901-405-1005
Mailing Address - Fax:901-255-2606
Practice Address - Street 1:8066 WALNUT RUN RD
Practice Address - Street 2:SUITE 205
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-8841
Practice Address - Country:US
Practice Address - Phone:901-405-1005
Practice Address - Fax:901-255-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic