Healthcare Provider Details
I. General information
NPI: 1245777580
Provider Name (Legal Business Name): SNORE NO MORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2017
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
761B MAN BONE CREEK RD
WHIGHAM GA
39897-2409
US
IV. Provider business mailing address
PO BOX 629
PERRY GA
31069-0629
US
V. Phone/Fax
- Phone: 229-378-4242
- Fax: 229-377-0676
- Phone: 855-491-8869
- Fax: 855-491-8879
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2278P1004X |
| Taxonomy | Pulmonary Diagnostics Certified Respiratory Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHAD
RICHARD
KNIGHT
Title or Position: SECRETARY
Credential: CRT
Phone: 229-387-4242