Organization
REST WELL SLEEP DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES CAMPBELL CRT (OWNER)
(601) 587-0422
Entity
Organization
Contact information
Practice address
865 EAST BROAD ST., MONTICELLO, MS 39654
(601) 587-0422
(601) 587-0423
Mailing address
865 EAST BROAD ST., MONTICELLO, MS 39654
(601) 587-4100
(601) 587-0423
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
07101/11.1
MS
Other
Enumeration date
10/04/2006
Last updated
01/30/2008
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