Healthcare Provider Details
I. General information
NPI: 1881761302
Provider Name (Legal Business Name): ALABAMA SLEEP CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2905 WESTCORP BLVD. SUITE 116
HUNTSVILLE AL
35801-7419
US
IV. Provider business mailing address
2905 WESTCORP BLVD SW STE 116
HUNTSVILLE AL
35805-6471
US
V. Phone/Fax
- Phone: 256-539-2531
- Fax: 256-533-0490
- Phone: 256-539-2531
- Fax: 256-533-0490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | 19155 |
| License Number State | AL |
VIII. Authorized Official
Name:
EDWARD
M
TURPIN
Title or Position: PRESIDENT
Credential: MD
Phone: 256-584-0056