Healthcare Provider Details

I. General information

NPI: 1386284511
Provider Name (Legal Business Name): GREATER CAROLINA SLEEP DIAGNOSTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4111 CAPITOL ST STE A
DURHAM NC
27704-2153
US

IV. Provider business mailing address

4111 CAPITOL ST STE A
DURHAM NC
27704-2153
US

V. Phone/Fax

Practice location:
  • Phone: 919-477-1588
  • Fax: 919-477-1688
Mailing address:
  • Phone: 919-477-1588
  • Fax: 919-477-1688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD J SCHUMANN JR.
Title or Position: OWNER
Credential: M.D.
Phone: 919-477-1588