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Organization
CMC-NORTHEAST, INC.
Active
Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Oncology Associates - High Point
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
601 N ELM ST, NORTHEAST ONCOLOGY ASSOCIATES - HIGH POINT, HIGH POINT, NC 27262-4331
(704) 403-1370
(704) 403-1389
Mailing address
601 N ELM ST, NORTHEAST ONCOLOGY ASSOCIATES - HIGH POINT, HIGH POINT, NC 27262-4331
(704) 403-1370
(704) 403-1389
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE PTAN, GROUP
NC
05
—
5915010
—
NC
Enumeration date
06/02/2010
Last updated
10/05/2010
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