Organization
BIOSERENITY USA INC.
Active
Other names
SleepMed, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHOCK (EVP CLINICAL OPERATIONS)
(214) 532-3757
Entity
Organization
Contact information
Practice address
770 HEMLOCK ST, SUITE C, MACON, GA 31201
(478) 745-9050
(478) 745-5125
Mailing address
99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
(978) 536-7400
(978) 536-6332
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2860022
AETNA HMO
—
01
—
7618325
AETNA PPO
—
01
—
905532
BLUE CROSS
—
Enumeration date
08/07/2006
Last updated
05/10/2022
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