Organization
PREMIER SLEEP AND NEUROLOGY
Active
Organization
PREMIER SLEEP AND NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L MCCLAIN (MANAGER)
(704) 412-7859
Entity
Organization
Contact information
Practice address
10009 PARK CEDAR DR STE 100, CHARLOTTE, NC 28210-8935
(704) 412-7859
(833) 973-4534
Mailing address
10009 PARK CEDAR DR STE 100, CHARLOTTE, NC 28210-8935
(704) 412-7859
(833) 973-4534
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9400705
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912077
—
NC
Enumeration date
05/02/2018
Last updated
02/05/2025
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