# SOUTHERN SLEEP DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Sleep Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982229431
- **Authorized official:** KAREN BROWN (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (256) 329-1114

## Contact information

- **Practice address:** 1113 CHRISTINE AVE, ANNISTON, AL 36207-4657
- **Practice address phone:** (256) 770-4813
- **Practice address fax:** (256) 770-4807
- **Mailing address:** 3368 HIGHWAY 280 STE G15, ALEXANDER CITY, AL 35010-3375
- **Mailing address phone:** (256) 329-1114
- **Mailing address fax:** (256) 329-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 06/10/2020