Organization
CHARLESTON SLEEP CENTER PLLC
Active
Other names
Charleston Sleep Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMAR ATASSI M.D. (OWNER)
(304) 981-6046
Entity
Organization
Contact information
Practice address
4500 MACCORKLE AVE SE, CHARLESTON, WV 25304-1806
(304) 981-6046
Mailing address
4500 MACCORKLE AVE SE, CHARLESTON, WV 25304-1806
(304) 981-6046
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
00045
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6804017000
—
WV
Enumeration date
05/24/2007
Last updated
09/04/2007
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