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RANDALL CRUM INC. NPI 1780934893


NPI Information

NPI: 1780934893
Provider Name: RANDALL CRUM INC.

Doing Business As: POOLER SLEEP DISORDER CENTER

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
130 CANAL ST
STE. 601
POOLER, GA
ZIP 31322
Phone: (912) 330-0979
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RANDALL CRUM INC. is a sleep disorder diagnostic clinic center in Pooler, GA. RANDALL CRUM INC. NPI is 1780934893. The provider is registered as an organization entity type.
The provider Is Doing Business As Pooler Sleep Disorder Center.

The provider's business location address is:

130 CANAL ST
STE. 601
POOLER, GA
ZIP 31322-085
Phone: (912) 330-0979
Fax: (912) 330-0739

The provider's authorized official is Randall A Crum .
The authorized official title is Director and has the following contact phone number (912) 297-5141.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 9/17/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

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

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