Organization
PALMETTO SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MILTON CAPELL (OWNER)
(843) 444-0880
Entity
Organization
Contact information
Practice address
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501-4909
(843) 407-6700
(843) 407-7999
Mailing address
PO BOX 1226, MYRTLE BEACH, SC 29578-1226
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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