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NPI Code Detail

MEDICARE: TOTAL SLEEP HOLDINGS, INC.

MEDICARE: TOTAL SLEEP HOLDINGS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1511G470011OTHERGAMEDICARE DIAGNOSTIC PROVIDER NUMBER

General Provider Information

NPI Number : 1467619171
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL SLEEP HOLDINGS, INC.
Provider Business Mailing Address
First Line : 1000 HURRICANE SHOALS RD NE
Second Line : BLDG B, STE 800
City : LAWRENCEVILLE
State : GA
Zip : 30043-4826
Country : US
Telephone Number : 770-237-8440
Fax Number : 770-237-8680
Provider Business Practice Location Address
First Line : 3200 COBB GALLERIA PKWY
Second Line : STE 245
City : ATLANTA
State : GA
Zip : 30339-5927
Country : US
Telephone Number : 770-818-9859
Fax Number : 770-859-0832
Authorized Official
Title or Position : CEO
Name : WILLIAM J GUIDETTI
Credential :
Telephone Number : 469-499-2857
Provider Enumeration Date : 05/20/2008
Last Update Date : 07/30/2009

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