Organization
ADVANCED SLEEP CONSULTANTS OF MIDDLE TN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL GIBSON M.D. (PRESIDENT)
(615) 449-5771
Entity
Organization
Contact information
Practice address
1405 W BADDOUR PKWY STE 101, LEBANON, TN 37087-2595
(615) 449-5771
Mailing address
PO BOX 1172, LEBANON, TN 37088-1172
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
41991
TN
Other
Enumeration date
02/09/2007
Last updated
06/08/2009
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