Organization
SOUTHERN SLEEP CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LABANOWSKI MD (OWNERMEDICAL DIRECTOR)
(334) 687-4643
Entity
Organization
Contact information
Practice address
217 S ORANGE AVE, EUFAULA, AL 36027-1628
(334) 687-4643
(334) 687-4646
Mailing address
217 S ORANGE AVE, EUFAULA, AL 36027-1628
(334) 687-4643
(334) 687-4646
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
Z0301
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530726
BCBS AL EUFAULA
AL
Enumeration date
04/04/2007
Last updated
02/06/2012
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