Healthcare Provider Details

I. General information

NPI: 1417591561
Provider Name (Legal Business Name): ROBINS SLEEP SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 RUSSELL PKWY
WARNER ROBINS GA
31088-5582
US

IV. Provider business mailing address

1295 RUSSELL PKWY
WARNER ROBINS GA
31088-5582
US

V. Phone/Fax

Practice location:
  • Phone: 478-929-2190
  • Fax: 478-922-6496
Mailing address:
  • Phone: 478-929-2190
  • Fax: 478-922-6496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CURTIS ONZELO HAYSLIP
Title or Position: CEO/PRESIDENT/OWNER
Credential: DMD
Phone: 478-929-2190