| Organization Name: | SLEEP CENTER OF COLUMBIA |
| NPI Number: | 1053464792 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW SHELBOURNE (MANAGER) |
| Mailing Address: | 1 Wellness Blvd Suite103 Irmo |
| State: | SC US |
| Postal Code: | 290632871 |
| Phone Number: | 8037322433 |
| Fax Number: | 8037322624 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | 1808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |