Organization
CU SLEEPCENTER II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE ROYCE DAUGHERTY II (CHEIF OPERATING OFFICER)
(423) 764-4429
Entity
Organization
Contact information
Practice address
3915 BRISTOL HWY, SUITE 401, JOHNSON CITY, TN 37601-1400
(423) 283-7533
(423) 283-7532
Mailing address
3915 BRISTOL HWY, SUITE 401, JOHNSON CITY, TN 37601-1400
(423) 283-7533
(423) 283-7532
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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