Provider Demographics
NPI:1467005173
Name:SOUTHEASTERN SLEEP ASSOCIATES LLC
Entity Type:Organization
Organization Name:SOUTHEASTERN SLEEP ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-841-1539
Mailing Address - Street 1:205 4TH AVE NE STE 102
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-1965
Mailing Address - Country:US
Mailing Address - Phone:256-841-1539
Mailing Address - Fax:
Practice Address - Street 1:205 4TH AVE NE STE 102
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-1965
Practice Address - Country:US
Practice Address - Phone:256-841-1539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORAL HEALTH PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies