Avilys-Sleep & Eeg

NPI #1861965865 in Macon, Georgia

Provider Information

NPI Number: 1861965865
Entity Type: Organization
Organization Name: Avilys-Sleep & Eeg
Primary Specialty: Clinic/Center - Sleep Disorder Diagnostic
Enumeration Date: Jan 2, 2019
Last Updated: Feb 2, 2023

Practice Location

Address: 2300 NORTHSIDE XING STE B
City: Macon
State: Georgia
ZIP Code: 31210-2254
Phone: (478) 787-0059

Authorized Official

Name: MR. MARK SHANE MOBLEY, RRT
Title: PRESIDENT
Phone: (478) 787-0059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Clinic/Center - Sleep Disorder Diagnostic — Sleep Disorder Diagnostic	261QS1200X	Primary

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