Provider Demographics
NPI:1316340433
Name:SOUND SLEEP INTERPRETATION, LLC
Entity type:Organization
Organization Name:SOUND SLEEP INTERPRETATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-906-4174
Mailing Address - Street 1:2103 BAY CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9323
Mailing Address - Country:US
Mailing Address - Phone:336-906-4174
Mailing Address - Fax:
Practice Address - Street 1:345 DEVERS ST STE 102
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4753
Practice Address - Country:US
Practice Address - Phone:910-491-6265
Practice Address - Fax:910-491-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty