Organization
SLEEP MEDICINE USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBODH KUMAR AGRAWAL M.D. (MEDICAL DIRECTOR)
(706) 613-6990
Entity
Organization
Contact information
Practice address
1490 PRINCE AVE, ATHENS, GA 30606-2210
(706) 613-6990
(706) 613-6989
Mailing address
1490 PRINCE AVE, ATHENS, GA 30606-2210
(706) 613-6990
(706) 613-6989
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
028344
GA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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