| Organization Name: | SOUTHERN PULMONARY REHAB, LLC |
| NPI Number: | 1124447297 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN B PHARR (PRESIDENT) |
| Mailing Address: | 118 Shore Front Ln Wilsonville |
| State: | AL US |
| Postal Code: | 351868613 |
| Phone Number: | 2057018624 |
| Fax Number: | 2057018624 |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 04/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2279P1004X |
| License Number: | 1214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Respiratory Therapist, Registered |
| Taxonomy Specialization: | Pulmonary Diagnostics |
| Taxonomy Definition: | Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies. |