Organization
CAROLINA SLEEP MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RAGAN (PRESIDENT AND C.E.O.)
(336) 993-8448
Entity
Organization
Contact information
Practice address
610 N FAYETTEVILLE ST, SUITE 102, ASHEBORO, NC 27203-4670
(336) 993-8448
(336) 993-8488
Mailing address
495 ARBOR HILL ROAD, SUITE G, KERNERSVILLE, NC 27284
(336) 993-8448
(336) 993-8488
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
001136390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704203
—
NC
05
—
89012WY
—
NC
Enumeration date
02/08/2006
Last updated
11/10/2008
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