Organization
NATIONAL SLEEP DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS SHAWN SHORT RPSGT. (OWNER)
(678) 736-6604
Entity
Organization
Contact information
Practice address
1600 ATKINSON RD, LAWRENCEVILLE, GA 30043-5602
(678) 736-6604
Mailing address
1600 ATKINSON RD, LAWRENCEVILLE, GA 30043-5602
(678) 736-6604
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
1004
GA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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