# CAROLINAS MEDICAL CENTER-NORTHEAST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER-NORTHEAST
- **Other names:** NorthEast Endocrinology - Huntersville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134433378
- **Legal business name:** CAROLINAS MEDICAL CENTER-NORTHEAST
- **Authorized official:** FRIEDA M LOWDER (SR. VP)
- **Authorized official phone:** (704) 403-4146

## Contact information

- **Practice address:** 9625 NORTHCROSS CENTER CT, SUITE 102-E, HUNTERSVILLE, NC 28078-7348
- **Practice address phone:** (704) 403-1311
- **Practice address fax:** (704) 403-1357
- **Mailing address:** 9625 NORTHCROSS CENTER CT, SUITE 102-E, HUNTERSVILLE, NC 28078-7348
- **Mailing address phone:** (704) 403-1311
- **Mailing address fax:** (704) 403-1357

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 03/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 232009 | MEDICARE GROUP PTAN | NC |
| 05 | — | 5916014 | — | NC |