Organization
CLAIRE BROOKE SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY DAWN KOGER RRT, RPSGT (OWNER)
(843) 203-6551
Entity
Organization
Contact information
Practice address
102 GREENLAND DR, GOOSE CREEK, SC 29445-5353
(843) 203-6551
(843) 203-6552
Mailing address
102 GREENLAND DR, GOOSE CREEK, SC 29445-5353
(843) 203-6551
(843) 203-6552
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
SC
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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