Organization
SOUTHAVEN SLEEP CLINIC
Active
Other names
Opus Medical Management LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA HARRELL (ADMINISTRATOR)
(901) 505-0181
Entity
Organization
Contact information
Practice address
7420 GUTHRIE DR N, SUITE 110, SOUTHAVEN, MS 38671-5876
(662) 253-0352
(662) 253-0359
Mailing address
7420 GUTHRIE DR N, SUITE 110, SOUTHAVEN, MS 38671-5876
(662) 253-0352
(662) 253-0359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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