OCONEE SLEEP CENTER LLC NPI 1366607921

NPI Information

NPI: 1366607921
Provider Name: OCONEE SLEEP CENTER, LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
206 QUEEN ST STE 12
VIDALIA, GA
ZIP 30474
Phone: (912) 388-4556
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OCONEE SLEEP CENTER, LLC is a sleep disorder diagnostic clinic center in Vidalia, GA. OCONEE SLEEP CENTER, LLC NPI is 1366607921. The provider is registered as an organization entity type.

The provider's business location address is:

206 QUEEN ST STE 12
VIDALIA, GA
ZIP 30474-287
Phone: (912) 388-4556
Fax: (912) 538-8404

The provider's authorized official is Heather Proctor .
The authorized official title is Administrator and has the following contact phone number (912) 388-4556.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 8/25/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	2008108051	GEORGIA	No
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	873631091A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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