| Palmetto Sleep Pc | |
|
210 Trilith Pkwy Ste 120 Fayetteville GA 30214-4615 | |
| (770) 230-0222 | |
| Not Available |
| Full Name | Palmetto Sleep Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 Trilith Pkwy Ste 120, Fayetteville, Georgia |
| Authorized Official Name and Position | Jordan Albert Brunson (DENTIST/ CEO) |
| Authorized Official Contact | 7702300222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Sleep Pc 210 Trilith Pkwy Ste 120 Fayetteville GA 30214-4615 Ph: (770) 230-0222 | Palmetto Sleep Pc 210 Trilith Pkwy Ste 120 Fayetteville GA 30214-4615 Ph: (770) 230-0222 |
| NPI Number | 1518824937 |
|---|---|
| Provider Enumeration Date | 01/07/2026 |
| Last Update Date | 01/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518824937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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