Healthcare Provider Details

I. General information

NPI: 1578816716
Provider Name (Legal Business Name): COSTRINI SLEEP SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 OKATIE CENTER BLVD., SOUTH SUITE 101
BLUFFTON SC
29909
US

IV. Provider business mailing address

11909 MCAULEY DRIVE PLAZA C, SUITE A-1
SAVANNAH GA
31419
US

V. Phone/Fax

Practice location:
  • Phone: 912-927-6680
  • Fax: 912-927-0062
Mailing address:
  • Phone: 912-927-6680
  • Fax: 912-927-0062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MELANIE M MORGAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 912-927-6680