1376826586 NPI number — ALABAMA SLEEP AND LUNG MEDICINE, LLC

Table of content: DR. TOM WILLIAM GREENLEE PHARMD (NPI 1821420746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376826586 NPI number — ALABAMA SLEEP AND LUNG MEDICINE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALABAMA SLEEP AND LUNG MEDICINE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376826586
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2018 BROOKWOOD MEDICAL CENTER DRIVE
Provider Second Line Business Mailing Address:
SUITE 115
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209-6870
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-802-6186
Provider Business Mailing Address Fax Number:
205-802-3941

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2018 BROOKWOOD MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
SUITE 115
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-6870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-802-6186
Provider Business Practice Location Address Fax Number:
205-802-3941
Provider Enumeration Date:
09/23/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MULKIN
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
205-802-6186

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  10246 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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