Organization
THE SHED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN BLONDEAU (VP)
(678) 702-9192
Entity
Organization
Contact information
Practice address
305 ARIZONA AVE NE, ATLANTA, GA 30307-2207
(678) 702-9192
(404) 687-8468
Mailing address
305 ARIZONA AVE NE, ATLANTA, GA 30307-2207
(678) 702-9192
(404) 687-8468
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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