MEDICARE: MEDICAL HELP SERVICES, LLC

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
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1558691675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL HELP SERVICES, LLC

Provider Business Mailing Address
First Line	:	4145 CHASTAIN DR
Second Line	:
City	:	GROVETOWN
State	:	GA
Zip	:	30813-4235
Country	:	US
Telephone Number	:	706-650-7022
Fax Number	:	706-650-7018

Provider Business Practice Location Address
First Line	:	2918 PROFESSIONAL PKWY
Second Line	:	SPECTRUM BUSINESS CENTER
City	:	AUGUSTA
State	:	GA
Zip	:	30907-3593
Country	:	US
Telephone Number	:	706-650-7022
Fax Number	:	706-650-7018

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MITCHEL R. SMITH
Credential	:
Telephone Number	:	706-650-7022

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	01/12/2010

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