Organization
SLEEP PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C WELLS JR. M.D. (DIRECTOR)
(478) 745-5779
Entity
Organization
Contact information
Practice address
275 SHERATON BLVD STE 100, MACON, GA 31210-1359
(478) 745-5779
(478) 742-7796
Mailing address
275 SHERATON BLVD STE 100, MACON, GA 31210-1359
(478) 745-5779
(478) 742-7796
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
05/08/2017
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