Organization
COFFEE COUNTY SLEEP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SILVEIRA M.D. (REGISTERED AGENT)
(912) 383-9382
Entity
Organization
Contact information
Practice address
308 SHIRLEY AVE, SUITE 304, DOUGLAS, GA 31533-2332
(912) 383-9382
Mailing address
312 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 383-9382
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
08043471
GA
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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