Middle Georgia Sleep & Wellness Center LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

45-4054629 Issued in GA

Legal business name

MIDDLE GEORGIA SLEEP & WELLNESS CENTER LLC

Practice address

350 Hospital Drive
Building D Suite 120
Macon, GA 31217-0000

Phone

(478) 744-9936

NPI assigned

Sep 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rehn Walker

Title

Owner

Phone

(478) 744-9936

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1114277373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4640",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310234640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL DRIVE",
            "address_2": "BUILDING D SUITE 120",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312170000",
            "telephone_number": "478-744-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA SLEEP & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "REHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-744-9936"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "GA",
            "license": "45-4054629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Internal Medicine & Kidney Diseases
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• Middle Georgia Pediatrics
• Middle Georgia Pediatrics
• Middle Georgia Regional Commission
• Middle Georgia Wound Solutions LLC
• Middle Moodycare Inc
• Nadia Tazion Middlebrooks
• Midstate Anesthesia, LLC
• Midstate Anesthesia, LLC

• Other Specialist/Technologist in Macon, GA
• Providers in Macon, GA by specialty
• Other Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.