Organization
SUMMIT SLEEP DISORDER CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA C PULLIAM (VICE PRESIDENT ADMINISTRATION)
(336) 768-5834
Entity
Organization
Contact information
Practice address
760 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 878-0358
(704) 878-0703
Mailing address
760 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 878-0358
(704) 878-0703
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
19652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901151
—
NC
Enumeration date
04/04/2007
Last updated
10/09/2008
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