Provider Demographics
NPI:1962712281
Name:NATIONS SLEEP DISORDERS CENTER LLC
Entity type:Organization
Organization Name:NATIONS SLEEP DISORDERS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT LIAISON
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-254-6988
Mailing Address - Street 1:1958 N COLUMBIA ST STE 6
Mailing Address - Street 2:BOX 150
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-2093
Mailing Address - Country:US
Mailing Address - Phone:478-254-6988
Mailing Address - Fax:
Practice Address - Street 1:1264 RIBAUT RD
Practice Address - Street 2:SUITE 402
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902
Practice Address - Country:US
Practice Address - Phone:843-603-6503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty