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Organization
ADVANCED SLEEP CONSULTANTS OF MIDDLE TN, INC
Active
Organization
ADVANCED SLEEP CONSULTANTS OF MIDDLE TN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL GIBSON M.D. (PRESIDENT)
(615) 449-5771
Entity
Organization
Contact information
Practice address
1405 W BADDOUR PKWY STE 101, LEBANON, TN 37087-2595
(615) 449-5771
Mailing address
PO BOX 1172, LEBANON, TN 37088-1172
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
41991
TN
Other
Enumeration date
02/09/2007
Last updated
06/08/2009
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