Organization
SOMNOLIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SCOTT SANDERS MA (PRESIDENT AND CEO)
(678) 521-0194
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 54 W, SUITE 203, FAYETTEVILLE, GA 30214-4514
(770) 692-7580
(770) 692-7584
Mailing address
1260 HIGHWAY 54 W, SUITE 203, FAYETTEVILLE, GA 30214-4514
(770) 692-7580
(770) 692-7584
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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