Organization
PULMONARY CRITICAL CARE & SLEEP ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RAWL (MANAGER)
(803) 358-6762
Entity
Organization
Contact information
Practice address
107 OMNI DRIVE, SUITE A, SENECA, SC 29672
(864) 482-3000
Mailing address
107 OMNI DRIVE, SUITE A, SENECA, SC 29672
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
09/05/2006
Last updated
02/07/2008
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