# CMC-NORTHEAST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CMC-NORTHEAST, INC.
- **Other names:** NorthEast Endocrinology - Harrisburg
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043363237
- **Legal business name:** CMC-NORTHEAST, INC.
- **Authorized official:** FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
- **Authorized official phone:** (704) 403-4146

## Contact information

- **Practice address:** 5427 HIGHWAY 49 S, NORTHEAST ENDOCRINOLOGY-HARRISBURG, HARRISBURG, NC 28075-7408
- **Practice address phone:** (704) 455-2065
- **Practice address fax:** (704) 403-1357
- **Mailing address:** 5427 HIGHWAY 49 S, NORTHEAST ENDOCRINOLOGY-HARRISBURG, HARRISBURG, NC 28075-7408
- **Mailing address phone:** (704) 455-2065
- **Mailing address fax:** (704) 403-1357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 06/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0147R | BCBS EFF PRIOR TO 7-1-07 | NC |
| 01 | — | 019F1 | BCBSNC | NC |
| 01 | — | 355573 | MAMSI | NC |
| 01 | — | 566000156076 | TRICARE STANDARD, NON NWK | NC |
| 05 | — | 5906982 | — | NC |
| 01 | — | CC2854 | RAILROAD MEDICARE | NC |
| 01 | — | DF8926 | RAILROAD MEDICARE PTAN | NC |