MEDICARE: TOTAL QUALITY SLEEP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1336873058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL QUALITY SLEEP LLC

Provider Business Mailing Address
First Line	:	PO BOX 7156
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36670-0156
Country	:	US
Telephone Number	:	251-633-7211
Fax Number	:	251-410-6079

Provider Business Practice Location Address
First Line	:	4619 SPRING HILL AVE.
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-5709
Country	:	US
Telephone Number	:	251-445-7264
Fax Number	:	251-378-9047

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DONALD BEDSOLE
Credential	:	MD
Telephone Number	:	251-445-7264

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	12/21/2022

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Directions to “TOTAL QUALITY SLEEP LLC ” Practice Location

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