| Premier Sleep And Neurology | |
|
8045 Providence Rd Ste 200 Charlotte NC 28277 | |
| (704) 412-7859 | |
| (704) 940-9697 |
| Full Name | Premier Sleep And Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8045 Providence Rd Ste 200, Charlotte, North Carolina |
| Authorized Official Name and Position | Robert L Mcclain (MANAGER) |
| Authorized Official Contact | 7044127859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Sleep And Neurology 8045 Providence Rd Ste 200 Charlotte NC 28277-9724 Ph: (704) 412-7859 | Premier Sleep And Neurology 8045 Providence Rd Ste 200 Charlotte NC 28277 Ph: (704) 412-7859 |
| NPI Number | 1932698156 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 07/30/2018 |
| Medicare PECOS PAC ID | 2365790722 |
|---|---|
| Medicare Enrollment ID | O20180802000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932698156 | NPI | - | NPPES |
| 8912077 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 9400705 (North Carolina) | Primary |
| Provider Name | Kenneth T Ashkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306896592 PECOS PAC ID: 3476569880 Enrollment ID: I20080822000318 |
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