# SLEEP DISORDERS CENTER OF GEORGIA, INC.

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

## Provider details

- **NPI number:** 1619038320
- **Authorized official:** MRS. SHELLEY A WILLIS (ADMINISTRATIVE SUPERVISOR)
- **Authorized official phone:** (404) 257-0080

## Contact information

- **Practice address:** 5505 PEACHTREE DUNWOODY RD NE, SUITE 380, ATLANTA, GA 30342-1705
- **Practice address phone:** (404) 257-0080
- **Practice address fax:** (404) 257-0592
- **Mailing address:** 5505 PEACHTREE DUNWOODY RD NE, SUITE 380, ATLANTA, GA 30342-1705
- **Mailing address phone:** (404) 257-0080
- **Mailing address fax:** (404) 257-0592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 014677 | GA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 12/29/2010