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Organization
SOUTH CAROLINA SLEEP MEDICINE LLC
Active
Organization
SOUTH CAROLINA SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH RAYE KAELIN (MANAGER)
(843) 871-4006
Entity
Organization
Contact information
Practice address
92 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8153
(843) 871-4006
(843) 871-4074
Mailing address
92 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8153
(843) 871-4006
(843) 871-4074
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
SC
207Y00000X
Otolaryngology Physician
—
SC
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3738
—
SC
Enumeration date
07/29/2005
Last updated
07/07/2026
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