Healthcare Provider Details

I. General information

NPI: 1962236380
Provider Name (Legal Business Name): SLEEP ATHENS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2024
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 DANIELLS BRIDGE RD STE 131
ATHENS GA
30606-6188
US

IV. Provider business mailing address

2470 DANIELLS BRIDGE RD STE 131
ATHENS GA
30606-6188
US

V. Phone/Fax

Practice location:
  • Phone: 706-546-7362
  • Fax: 706-546-0123
Mailing address:
  • Phone: 706-546-7362
  • Fax: 706-546-0123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. BILLY GOLDMAN
Title or Position: OWNER
Credential: DMD
Phone: 706-546-7362