Healthcare Provider Details
I. General information
NPI: 1508269648
Provider Name (Legal Business Name): TENNESSEE SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2014
Last Update Date: 05/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1607 WESTGATE CIR STE 400
BRENTWOOD TN
37027-8080
US
IV. Provider business mailing address
1607 WESTGATE CIR STE 400
BRENTWOOD TN
37027-8080
US
V. Phone/Fax
- Phone: 615-829-7150
- Fax:
- Phone: 615-829-7150
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WARREN
F
MELAMED
Title or Position: OWNER/DDS
Credential: DDS
Phone: 615-824-4833