Provider Demographics
NPI:1730669912
Name:NATIONS SLEEP DISORDER CENTER OF THE LOW COUNTRY LLC
Entity type:Organization
Organization Name:NATIONS SLEEP DISORDER CENTER OF THE LOW COUNTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-453-1325
Mailing Address - Street 1:1958-6 BOX 150
Mailing Address - Street 2:N. COLUMBIA ST
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061
Mailing Address - Country:US
Mailing Address - Phone:478-453-1325
Mailing Address - Fax:478-452-0256
Practice Address - Street 1:1264 RIBAUT RD STE 402
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6129
Practice Address - Country:US
Practice Address - Phone:843-470-3755
Practice Address - Fax:843-322-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic