Organization
SLEEPMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R. IBERGER (EVP CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
102 CORPORATE SQ, SUITE G & H, DUBLIN, GA 31021-4225
(800) 770-5874
(478) 745-5125
Mailing address
60 CHASTAIN BLVD, SUITE 66, KENNESAW, GA 30144
(978) 536-7400
(978) 535-9757
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2860017
AETNA
—
01
—
43490832
UNITED HEALTH CARE
—
01
—
905532
BLUE CROSS/BLUE SHIELD
—
Enumeration date
08/12/2006
Last updated
10/15/2009
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