MEDICARE: THE SLEEP DISORDERS CENTER OF CDS

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	99999	GA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	99999	GA

General Provider Information

NPI Number	:	1548213218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SLEEP DISORDERS CENTER OF CDS

Provider Business Mailing Address
First Line	:	275 COLLIER RD NW
Second Line	:	STE 300
City	:	ATLANTA
State	:	GA
Zip	:	30309-1704
Country	:	US
Telephone Number	:	404-355-9815
Fax Number	:	404-603-7222

Provider Business Practice Location Address
First Line	:	1900 THE EXCHANGE SE
Second Line	:	BLDG 100 STE 100
City	:	ATLANTA
State	:	GA
Zip	:	30339-2022
Country	:	US
Telephone Number	:	770-984-0201
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DENNIS BRESLIN
Credential	:
Telephone Number	:	404-355-9815

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	11/08/2007

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Directions to “THE SLEEP DISORDERS CENTER OF CDS ” Practice Location

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