Organization Name: | CAROLINA SLEEP AND RESPIRATORY, LLC |
NPI Number: | 1194868612 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL DENNIS DEAN (MEMBER) |
Mailing Address: | 411 E Jackson Blvd Erwin |
State: | NC US |
Postal Code: | 283399628 |
Phone Number: | 9108972296 |
Fax Number: | 9106941013 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |