# CU SLEEPCENTER II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417015504
- **Authorized official:** MR. JIMMIE ROYCE DAUGHERTY II (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (423) 764-4429

## Contact information

- **Practice address:** 3915 BRISTOL HWY, SUITE 401, JOHNSON CITY, TN 37601-1400
- **Practice address phone:** (423) 283-7533
- **Practice address fax:** (423) 283-7532
- **Mailing address:** 3915 BRISTOL HWY, SUITE 401, JOHNSON CITY, TN 37601-1400
- **Mailing address phone:** (423) 283-7533
- **Mailing address fax:** (423) 283-7532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020