# SOUTHERN SLEEP TECHNOLOGIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN HOME RESPIRATORY CARE INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225032261
- **Authorized official:** MR. MARK SHANE MOBLEY RRT, PSBT (CEO)
- **Authorized official phone:** (478) 757-0759

## Contact information

- **Practice address:** 215 SHERATON BLVD STE A, MACON, GA 31210-1359
- **Practice address phone:** (478) 757-0759
- **Practice address fax:** (478) 757-0769
- **Mailing address:** 215 SHERATON BLVD STE A, MACON, GA 31210-1359
- **Mailing address phone:** (478) 757-0759
- **Mailing address fax:** (478) 757-0769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 02893 | GA | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 08/17/2007