Organization
SLEEPMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R. IBERGER (EVP/CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1140 HAMMOND DR NE, SUITE 7210, ATLANTA, GA 30328-5338
(770) 828-0052
(770) 828-0097
Mailing address
60 CHASTAIN CENTER BLVD NW, SUITE 60, KENNESAW, GA 30144-5598
(978) 536-7400
(978) 535-9757
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2860017
AETNA
—
Enumeration date
08/07/2006
Last updated
10/15/2009
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