Healthcare Provider Details
I. General information
NPI: 1790792984
Provider Name (Legal Business Name): CENTRAL ALABAMA SLEEP CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2006
Last Update Date: 12/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
74100 TALLASSEE HWY
WETUMPKA AL
36092-5500
US
IV. Provider business mailing address
PO BOX 242848
MONTGOMERY AL
36124-2848
US
V. Phone/Fax
- Phone: 334-514-5515
- Fax: 334-286-5097
- Phone: 334-270-9914
- Fax: 334-270-3195
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
P
FRANCO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 334-286-6225