Organization
SLEEP SOUNDLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RTENEE C MCPHEE CRTT (MANAGING MEMBER)
(404) 376-4760
Entity
Organization
Contact information
Practice address
626 PARKWAY DR, ATLANTA, GA 30308-2614
(404) 376-4760
Mailing address
590 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1855
(404) 376-4760
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452510883
PRIVATE INSURANCE
GA
Enumeration date
09/07/2011
Last updated
09/07/2011
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