Organization
SLEEP USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY KEVIN DANIEL (PRESIDENT)
(229) 387-0263
Entity
Organization
Contact information
Practice address
820 LOVE AVE, SUITE E, TIFTON, GA 31794-4071
(229) 387-0263
(229) 387-8631
Mailing address
PO BOX 1648, TIFTON, GA 31793-1648
(229) 387-8631
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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