Organization
SLEEP RX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SHAWN GHENT M.D. (MANAGER)
(803) 358-0158
Entity
Organization
Contact information
Practice address
454 BERRYHILL RD, COLUMBIA, SC 29210-6447
(803) 358-0158
(803) 358-0168
Mailing address
PO BOX 11631, COLUMBIA, SC 29211-1631
(803) 358-0158
(803) 932-9618
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
14529
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PL0071
—
SC
Enumeration date
11/17/2006
Last updated
11/16/2007
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