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NPI Code Detail

MEDICARE: SLEEP DISORDERS OF TENNESSEE

MEDICARE: SLEEP DISORDERS OF TENNESSEE
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
1261QM2500XMedical Specialty Clinic/Center000648758TN

General Provider Information

NPI Number : 1417342973
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP DISORDERS OF TENNESSEE
Provider Business Mailing Address
First Line : 254 REN MAR DR STE 200
Second Line :
City : PLEASANT VIEW
State : TN
Zip : 37146-3723
Country : US
Telephone Number : 615-746-1471
Fax Number : 615-746-4536
Provider Business Practice Location Address
First Line : 254 REN MAR DR STE 200
Second Line :
City : PLEASANT VIEW
State : TN
Zip : 37146-3723
Country : US
Telephone Number : 615-746-1471
Fax Number : 615-746-4536
Authorized Official
Title or Position : PART OWNER- MEDICAL DOCTOR
Name : DR. MARTHA HAGAMAN
Credential : M.D
Telephone Number : 615-746-1471
Provider Enumeration Date : 04/01/2015
Last Update Date : 04/01/2015

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Directions to “SLEEP DISORDERS OF TENNESSEE ” Practice Location

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