Organization
SOUTHERN SLEEP CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LABANOWSKI MD (OWNER MEDICAL DIRECTOR)
(334) 791-1700
Entity
Organization
Contact information
Practice address
502 N WILEY AVE, DONALSONVILLE, GA 39845-1340
(229) 524-2259
(229) 524-2269
Mailing address
502 N WILEY AVE, DONALSONVILLE, GA 39845-1340
(229) 524-2259
(229) 524-2269
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
1061
GA
Other
Enumeration date
04/04/2007
Last updated
02/06/2012
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