Organization
TUPELO SLEEP DIAGNOSTICS
Active
Organization
TUPELO SLEEP DIAGNOSTICS
Active
Other names
The Reggie White Sleep Disorder Center - Tupelo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK EVIN DENMAN SR. (CEO/PRESIDENT)
(901) 246-0767
Entity
Organization
Contact information
Practice address
1150 S. GREEN STREET, BLDG. 2, STE B, TUPELO, MS 38804-4901
(662) 407-0862
(662) 407-0865
Mailing address
7600 AIRWAYS BLVD., STE G, SOUTHAVEN, MS 38671
(662) 349-9802
(662) 253-0085
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
12/02/2009
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