Healthcare Provider Details

I. General information

NPI: 1093254328
Provider Name (Legal Business Name): ALABAMA SLEEP THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2017
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3056 HEALTHY WAY UNIT B-789
BIRMINGHAM AL
35243-2434
US

IV. Provider business mailing address

PO BOX 879
FULTONDALE AL
35068-0879
US

V. Phone/Fax

Practice location:
  • Phone: 205-631-1520
  • Fax: 205-631-1522
Mailing address:
  • Phone: 205-631-1520
  • Fax: 205-631-1522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES JERNIGAN
Title or Position: MANAGER-PARTNER
Credential:
Phone: 205-631-1520