# ADVANCED SLEEP CONSULTANTS OF MIDDLE TN, INC

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

## Provider details

- **NPI number:** 1912048307
- **Authorized official:** DR. RUSSELL GIBSON M.D. (PRESIDENT)
- **Authorized official phone:** (615) 449-5771

## Contact information

- **Practice address:** 1405 W BADDOUR PKWY STE 101, LEBANON, TN 37087-2595
- **Practice address phone:** (615) 449-5771
- **Mailing address:** PO BOX 1172, LEBANON, TN 37088-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 41991 | TN | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/08/2009