Provider Demographics
NPI:1366415374
Name:CENTRAL CAROLINA NEUROLOGY & SLEEP, PA
Entity type:Organization
Organization Name:CENTRAL CAROLINA NEUROLOGY & SLEEP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-637-3145
Mailing Address - Street 1:911 W HENDERSON ST
Mailing Address - Street 2:SUITE L-30
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2736
Mailing Address - Country:US
Mailing Address - Phone:704-637-3145
Mailing Address - Fax:704-637-0470
Practice Address - Street 1:911 W HENDERSON ST
Practice Address - Street 2:SUITE L-30
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2736
Practice Address - Country:US
Practice Address - Phone:704-637-3145
Practice Address - Fax:704-637-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0269AOtherGROUP BC/BS NUMBER
NC890269AMedicaid
NC890269AMedicaid