Organization
SLEEP SOURCE TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK W SEXTON (CO-OWNER)
(270) 575-0080
Entity
Organization
Contact information
Practice address
60 MARKET CENTER DR # 103, COLLIERVILLE, TN 38017-6914
(901) 861-5441
Mailing address
3125 PARISA DR, PADUCAH, KY 42003-4584
(270) 575-0080
(270) 575-0081
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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