# TWINKLESCAPE SLEEP DISORDERS CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255503173
- **Authorized official:** DR. KIM L GORING M.D (OWNER/PRESIDENT)
- **Authorized official phone:** (919) 838-7600

## Contact information

- **Practice address:** 935 SHOTWELL ROAD, SUITE 107, CLAYTON, NC 27549-5597
- **Practice address phone:** (919) 838-7600
- **Practice address fax:** (919) 838-7611
- **Mailing address:** 9650 STRICKLAND ROAD, SUITE 103-140, RALEIGH, NC 27615-1903
- **Mailing address phone:** (919) 838-7600
- **Mailing address fax:** (919) 838-7611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 2008-00074 | NC | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 10/21/2010