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Organization
REST WELL SLEEP DIAGNOSTICS, LLC
Active
Organization
REST WELL SLEEP DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES CAMPBELL CRT (OWNER)
(601) 587-0422
Entity
Organization
Contact information
Practice address
865 EAST BROAD ST., MONTICELLO, MS 39654
(601) 587-0422
(601) 587-0423
Mailing address
865 EAST BROAD ST., MONTICELLO, MS 39654
(601) 587-4100
(601) 587-0423
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
07101/11.1
MS
Other
Enumeration date
10/04/2006
Last updated
01/30/2008
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