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NPI Code Detail

MEDICARE: SLEEP RX

MEDICARE: SLEEP RX
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
1207RS0012XSleep Medicine (Internal Medicine) Physician14529SC

General Provider Information

NPI Number : 1619163953
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP RX
Provider Business Mailing Address
First Line : 9570 TWO NOTCH RD
Second Line : SUITE 8
City : COLUMBIA
State : SC
Zip : 29223-4308
Country : US
Telephone Number : 803-358-0158
Fax Number : 803-358-0168
Provider Business Practice Location Address
First Line : 454 BERRYHILL RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-6447
Country : US
Telephone Number : 803-358-0158
Fax Number : 803-358-0168
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : SHAWN GHENT
Credential : M.D.
Telephone Number : 803-358-0158
Provider Enumeration Date : 09/20/2007
Last Update Date : 09/20/2007

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Directions to “SLEEP RX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.