Organization
SLEEP UNLIMITED JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHOMY SCOTT EALY (CHIEF MANAGER)
(901) 758-2838
Entity
Organization
Contact information
Practice address
101 CLINICAL CENTRE DRIVE, JACKSON, TN 38305
(901) 758-2838
(901) 758-2479
Mailing address
764 WALNUT KNOLL LN, STE 200, CORDOVA, TN 38018-3113
(901) 758-2838
(901) 758-2479
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
04/29/2011
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