Organization Name: | ADVANCED SLEEP SOLUTIONS OF ATLANTA |
NPI Number: | 1073780391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN HOWARD WOOTEN (PRESIDENT) |
Mailing Address: | 209 Cobblestone Cv Sharpsburg |
State: | GA US |
Postal Code: | 302771758 |
Phone Number: | 7705027009 |
Fax Number: | 7702520057 |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 05/15/2008 |
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: |