Organization · NPI-2

Cu Sleepcenter II

Clinic/Center, Sleep Disorder Diagnostic · Johnson City, TN

NPI number1417015504
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1417015504
Entity type
Organization (NPI-2)
Legal business name
Cu Sleepcenter II
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

3915 Bristol Hwy
Suite 401
Johnson City, TN 37601-1400

Phone 423-283-7533 · Fax 423-283-7532

Mailing address

3915 Bristol Hwy
Suite 401
Johnson City, TN 37601-1400

Phone 423-283-7533 · Fax 423-283-7532

Authorized official

Jimmie Royce Daugherty
Cheif Operating Officer
4237644429

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