| Southeast Neurology & Sleep Disorders | |
|
15830 John J Delaney Dr Suite 125 Charlotte NC 28277-3294 | |
| (704) 752-3295 | |
| (704) 752-3296 |
| Full Name | Southeast Neurology & Sleep Disorders |
|---|---|
| Speciality | Clinic/center - Sleep Disorder Diagnostic |
| Location | 15830 John J Delaney Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Cecilia Pierre (ADMINISTRATOR) |
| Authorized Official Contact | 7047523295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Neurology & Sleep Disorders Po Box 78536 Charlotte NC 28271-7036 Ph: (704) 752-3295 | Southeast Neurology & Sleep Disorders 15830 John J Delaney Dr Suite 125 Charlotte NC 28277-3294 Ph: (704) 752-3295 |
| NPI Number | 1821180795 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821180795 | NPI | - | NPPES |
| 5903469 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (North Carolina) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (North Carolina) | Primary |
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