| Organization Name: | MIDDLE GEORGIA SLEEP & WELLNESS CENTER, LLC |
| NPI Number: | 1518237510 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RHETT A. WALKER (OWNER) |
| Mailing Address: | 830 Professional Center Dr Eastman |
| State: | GA US |
| Postal Code: | 310236734 |
| Phone Number: | 4783741900 |
| Fax Number: | 4783741904 |
| NPI Enumeration Date: | 01/06/2012 |
| NPI Last Update Date: | 01/06/2012 |
| 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: | |