Healthcare Provider Details

I. General information

NPI: 1336873058
Provider Name (Legal Business Name): TOTAL QUALITY SLEEP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4619 SPRING HILL AVE.
MOBILE AL
36608-5709
US

IV. Provider business mailing address

PO BOX 7156
MOBILE AL
36670-0156
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-7264
  • Fax: 251-378-9047
Mailing address:
  • Phone: 251-633-7211
  • Fax: 251-410-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD BEDSOLE
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 251-445-7264