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SOUTHERN SLEEP CLINICS LLC NPI 1396867800


NPI Information

NPI: 1396867800
Provider Name: SOUTHERN SLEEP CLINICS LLC
Classification: Psychiatry & Neurology - 2084S0012X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 11D2200464

Address:
502 N WILEY AVE
DONALSONVILLE, GA
ZIP 39845
Phone: (229) 524-2259
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SOUTHERN SLEEP CLINICS LLC is a sleep medicine psychiatry neurology in Donalsonville, GA. The provider is a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. SOUTHERN SLEEP CLINICS LLC NPI is 1396867800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

502 N WILEY AVE
DONALSONVILLE, GA
ZIP 39845-340
Phone: (229) 524-2259
Fax: (229) 524-2269

The provider's authorized official is Michael J Labanowski .
The authorized official title is Owner Medical Director and has the following contact phone number (334) 791-1700.

The CLIA number assigned to this NPI record is 11D2200464 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 2/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084S0012XPsychiatry & NeurologySleep Medicine1061GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147BBBPFMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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