Organization
PALMETTO SLEEP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN A BRUNSON DDS (PRESIDENT)
(770) 898-3192
Entity
Organization
Contact information
Practice address
70 WESTRIDGE PKWY STE 100, MCDONOUGH, GA 30253-3048
(770) 898-3192
Mailing address
70 WESTRIDGE PKWY STE 100, MCDONOUGH, GA 30253-3048
(770) 898-3192
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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