Healthcare Provider Details

I. General information

NPI: 1720220726
Provider Name (Legal Business Name): SONNOGROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2932 ROSS CLARK CIR STE 320
DOTHAN AL
36301-1160
US

IV. Provider business mailing address

2932 ROSS CLARK CIR STE 320
DOTHAN AL
36301-1160
US

V. Phone/Fax

Practice location:
  • Phone: 334-726-3413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: SHERRI TAYLOR GILMER
Title or Position: CFO
Credential:
Phone: 334-726-3413