# RANDALL CRUM INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RANDALL CRUM INC.
- **Other names:** Pooler Sleep Disorder Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780934893
- **Legal business name:** RANDALL CRUM INC.
- **Authorized official:** RANDALL A CRUM (DIRECTOR)
- **Authorized official phone:** (912) 297-5141

## Contact information

- **Practice address:** 130 CANAL ST, STE. 601, POOLER, GA 31322-4085
- **Practice address phone:** (912) 330-0979
- **Practice address fax:** (912) 330-0739
- **Mailing address:** 130 CANAL ST, STE. 601, POOLER, GA 31322-4085
- **Mailing address phone:** (912) 330-0979
- **Mailing address fax:** (912) 330-3710

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/17/2012