Healthcare Provider Details
I. General information
NPI: 1427451699
Provider Name (Legal Business Name): SLEEP APNEA INSTITUTE NASHVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2014
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 MALLORY LN SUITE 302
FRANKLIN TN
37067-8233
US
IV. Provider business mailing address
2001 MALLORY LN SUITE 302
FRANKLIN TN
37067-8233
US
V. Phone/Fax
- Phone: 615-861-8918
- Fax:
- Phone: 615-861-8918
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YS0012X |
| Taxonomy | Sleep Medicine (Otolaryngology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
PERRY
Title or Position: OWNER
Credential: M.D.
Phone: 615-861-8918