Organization
OCONEE SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE S SHEHEE (OPERATIONS MANAGER)
(912) 388-4556
Entity
Organization
Contact information
Practice address
602 CHURCH ST UNIT B, VIDALIA, GA 30474-4744
(912) 388-4556
(912) 538-8404
Mailing address
602 CHURCH ST UNIT B, VIDALIA, GA 30474-4744
(912) 388-4556
(912) 538-8404
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
2008108051
GA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873631091A
—
GA
Enumeration date
07/23/2008
Last updated
01/14/2025
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