Organization
PALMETTO SLEEP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN BRUNSON DDS (PRESIDENT)
(706) 580-9670
Entity
Organization
Contact information
Practice address
501 PARK ST, PALMETTO, GA 30268-1007
(770) 463-4541
(770) 463-9184
Mailing address
501 PARK ST, PALMETTO, GA 30268-1007
(770) 463-4541
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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