Organization
CERTIFIED SLEEP SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL BROWN DO (PHYSICIAN- OWNER)
(229) 293-0037
Entity
Organization
Contact information
Practice address
1601 N ASHLEY ST, SUITE 83, VALDOSTA, GA 31602-3055
(229) 293-0037
(229) 293-0701
Mailing address
1725 E PARK AVE, SUITE E, VALDOSTA, GA 31602-3420
(229) 293-0037
(229) 293-0701
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
028735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00463273K
—
GA
Enumeration date
02/21/2007
Last updated
05/18/2015
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