Madison Sleep Lab, LLC
NPI #1962574749 in Canton, Mississippi
Provider Information
- NPI Number
- 1962574749
- Entity Type
- Organization
- Organization Name
- Madison Sleep Lab, LLC
- Primary Specialty
- Clinic/Center - Sleep Disorder Diagnostic
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Mar 20, 2008
Practice Location
- Address
- 1883 HIGHWAY 43 S
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-8405
- Phone
- (601) 859-0730
Authorized Official
- Name
- MR. ROLAND B WALL III
- Title
- MANAGER
- Phone
- (601) 932-3397
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