| NPI | 1457400871 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANA ANDREWS MULLEN Office Administrator 256-764-7710 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL 00012505) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 00012505) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 18158) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 18158) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-054374) | |
| Enumeration Date | 2007-01-09 | 
| Last Update Date | 2025-07-24 |