| Sleep Group South Inc | |
|
1229 Eagles Landing Pkwy Ste C Stockbridge GA 30281-5114 | |
| (470) 705-0788 | |
| (470) 203-2094 |
| Full Name | Sleep Group South Inc |
|---|---|
| Speciality | Dentist |
| Location | 1229 Eagles Landing Pkwy Ste C, Stockbridge, Georgia |
| Authorized Official Name and Position | Vernon W Greene (PRESIDENT) |
| Authorized Official Contact | 4707050788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Group South Inc 1229 Eagles Landing Pkwy Ste C Stockbridge GA 30281-5114 Ph: (470) 705-0788 | Sleep Group South Inc 1229 Eagles Landing Pkwy Ste C Stockbridge GA 30281-5114 Ph: (470) 705-0788 |
| NPI Number | 1093217085 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 9638421720 |
|---|---|
| Medicare Enrollment ID | O20181018001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093217085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8312 (Georgia) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 8312 (Georgia) | Secondary |
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