Provider Demographics
NPI:1376826586
Name:ALABAMA SLEEP AND LUNG MEDICINE, LLC
Entity Type:Organization
Organization Name:ALABAMA SLEEP AND LUNG MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MULKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-802-6186
Mailing Address - Street 1:2018 BROOKWOOD MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6870
Mailing Address - Country:US
Mailing Address - Phone:205-802-6186
Mailing Address - Fax:205-802-3941
Practice Address - Street 1:2018 BROOKWOOD MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 115
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6870
Practice Address - Country:US
Practice Address - Phone:205-802-6186
Practice Address - Fax:205-802-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10246207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty