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Organization
CMC-NORTHEAST, INC.
Active
Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
Stanly Regional Hospitalist Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
301 YADKIN ST, STANLY REGIONAL HOSPITALIST PHYSICIANS, ALBEMARLE, NC 28001-3441
(704) 984-4365
(704) 983-7856
Mailing address
301 YADKIN ST, STANLY REGIONAL HOSPITALIST PHYSICIANS, ALBEMARLE, NC 28001-3441
(704) 984-4365
(704) 983-7856
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019K5
BCBS NC
NC
05
—
5908520
—
NC
01
—
9523057
AETNA
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
08/17/2007
Last updated
06/01/2010
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