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Organization

ATLANTIC SLEEP DISORDERS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID LAWRENCE (OWNER)
(843) 235-9831
Entity
Organization

Contact information

Practice address
9657 S OCEAN HWY 17, STE 4B, PAWLEYS ISLAND, SC 29585-7425
(843) 235-9831
(843) 235-9853
Mailing address
PO BOX 1250, PAWLEYS ISLAND, SC 29585-1250
(843) 235-9831
(843) 235-9853

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
3431
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PL0096
SC
Enumeration date
03/10/2010
Last updated
03/07/2012
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