Novant Health Neurology And Sleep | |
3330 Siskey Pkwy Matthews NC 28105-3222 | |
(704) 316-9001 | |
(704) 316-9008 |
Full Name | Novant Health Neurology And Sleep |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 3330 Siskey Pkwy, Matthews, North Carolina |
Authorized Official Name and Position | Leea Jeanine Walton (EDI MANAGER) |
Authorized Official Contact | 7043166081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Novant Health Neurology And Sleep Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 316-9001 | Novant Health Neurology And Sleep 3330 Siskey Pkwy Matthews NC 28105-3222 Ph: (704) 316-9001 |
NPI Number | 1083666887 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 06/12/2024 |
Certification Date | 06/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083666887 | NPI | - | NPPES |
017YG | Other | NC | BCBS NC |
CC5118 | Other | NC | RAILROAD MEDICARE |
NPB172 | Medicaid | SC | |
5903547 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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