Healthcare Provider Details

I. General information

NPI: 1164757126
Provider Name (Legal Business Name): SLEEP MEDICINE ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 COOL SPRINGS BLVD SUITE 240
FRANKLIN TN
37067-6474
US

IV. Provider business mailing address

125 COOL SPRINGS BLVD SUITE 240
FRANKLIN TN
37067-6474
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-6000
  • Fax: 615-771-6009
Mailing address:
  • Phone: 615-771-6000
  • Fax: 615-771-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD24304
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD24304
License Number StateTN

VIII. Authorized Official

Name: MARTHA H. HAGAMAN
Title or Position: OWNER
Credential: M.D.
Phone: 615-260-6630