| Enterprise Sleep Clinic | |
|
101 Professional Ln Ste A Enterprise AL 36330-2085 | |
| (334) 347-3404 | |
| (334) 393-0613 |
| Full Name | Enterprise Sleep Clinic |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 101 Professional Ln Ste A, Enterprise, Alabama |
| Authorized Official Name and Position | Crystal S Foster (CONTRACT MANAGER) |
| Authorized Official Contact | 3347938087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterprise Sleep Clinic Po Box 1928 Dothan AL 36302-1928 Ph: (334) 793-8087 | Enterprise Sleep Clinic 101 Professional Ln Ste A Enterprise AL 36330-2085 Ph: (334) 347-3404 |
| NPI Number | 1063509297 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063509297 | NPI | - | NPPES |
| C867 | Other | AL | BCBS OF ALABAMA GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Primary |
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