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NPI Code Detail

MEDICARE: MED ONE SLEEP CENTER, PLLC

MEDICARE: MED ONE SLEEP CENTER, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS1201XSleep Medicine (Family Medicine) Physician
2261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1194327155
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED ONE SLEEP CENTER, PLLC
Provider Business Mailing Address
First Line : 1340 WALTER REED RD STE 201
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4451
Country : US
Telephone Number : 910-401-5415
Fax Number : 910-849-3453
Provider Business Practice Location Address
First Line : 1340 WALTER REED RD STE 201
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4451
Country : US
Telephone Number : 910-401-5415
Fax Number : 910-849-3453
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : RAYMOND ALBERT GASKINS JR.
Credential : MD
Telephone Number : 910-977-1399
Provider Enumeration Date : 11/13/2020
Last Update Date : 11/14/2020

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Directions to “MED ONE SLEEP CENTER, PLLC ” Practice Location

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