Organization
SLEEP STUDY CLINICS OF WEST TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN D DONALDSON (CEO)
(901) 461-8009
Entity
Organization
Contact information
Practice address
7730 WOLF RIVER BLVD STE 106, GERMANTOWN, TN 38138-1737
(901) 405-1023
Mailing address
7730 WOLF RIVER BLVD STE 106, GERMANTOWN, TN 38138-1737
(901) 405-1023
(901) 614-8937
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
0289344
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3791004
PTAN
TN
Enumeration date
06/10/2006
Last updated
12/19/2023
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