| NPI | 1770706863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MULLEN Office Administrator 256-764-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL 00012505) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 00012505) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 18158) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 18158) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-09-11 |