MEDICARE: NATIONAL SLEEP SOLUTIONS

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	261QS1200X

General Provider Information

NPI Number	:	1922289339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SLEEP SOLUTIONS

Provider Business Mailing Address
First Line	:	1721 HUDSON MILL RD
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811-6303
Country	:	US
Telephone Number	:	888-884-9493
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 UNIVERSITY AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-7606
Country	:	US
Telephone Number	:	888-884-9493
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DIRECTOR
Name	:	JEFFREY SCOTT WARD
Credential	:	RRT,RCP,PSG.T
Telephone Number	:	888-884-9493

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	11/14/2007

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