Organization
SLEEPMED THERAPIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELA NAUFUL (VP OF COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
1000 COBB PLACE BLVD NW, SUITE 510, KENNESAW, GA 30144
(770) 516-5455
(678) 260-6702
Mailing address
1000 COBB PLACE BLVD NW, SUITE 510, KENNESAW, GA 30144-3682
(800) 846-2973
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00885695AB
—
GA
01
—
10059280
AMERIGROUP
GA
01
—
356411
WELLCARE - PIN
GA
Enumeration date
07/03/2006
Last updated
08/23/2018
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