Organization Name: | SLEEPMED, INC |
NPI Number: | 1033322276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL R IBERGER (EVP-CFO) |
Mailing Address: | 606 Black River Rd Georgetown |
State: | SC US |
Postal Code: | 294403304 |
Phone Number: | 8435277405 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |