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Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
NorthEast Endocrinology - Huntersville
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (SR. VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
9625 NORTHCROSS CENTER CT, SUITE 102-E, HUNTERSVILLE, NC 28078-7348
(704) 403-1311
(704) 403-1357
Mailing address
9625 NORTHCROSS CENTER CT, SUITE 102-E, HUNTERSVILLE, NC 28078-7348
(704) 403-1311
(704) 403-1357
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE GROUP PTAN
NC
05
—
5916014
—
NC
Enumeration date
07/29/2010
Last updated
03/29/2013
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