Organization
TWINKLESCAPE SLEEP DISORDERS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM L GORING M.D (OWNER/PRESIDENT)
(919) 838-7600
Entity
Organization
Contact information
Practice address
935 SHOTWELL ROAD, SUITE 107, CLAYTON, NC 27549-5597
(919) 838-7600
(919) 838-7611
Mailing address
9650 STRICKLAND ROAD, SUITE 103-140, RALEIGH, NC 27615-1903
(919) 838-7600
(919) 838-7611
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
2008-00074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034110900
—
DC
05
—
5908964
—
NC
Enumeration date
03/31/2008
Last updated
10/21/2010
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