# CAROLINAS MEDICAL CENTER-NORTHEAST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER-NORTHEAST
- **Other names:** NorthEast Women's Health & Obstetrics at Renaissance
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477569820
- **Legal business name:** CAROLINAS MEDICAL CENTER-NORTHEAST
- **Authorized official:** FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
- **Authorized official phone:** (704) 403-4146

## Contact information

- **Practice address:** 2101 SHILOH CHURCH RD, SUITE 202, DAVIDSON, NC 28036-7603
- **Practice address phone:** (704) 439-3770
- **Practice address fax:** (704) 439-3779
- **Mailing address:** 2101 SHILOH CHURCH RD, SUITE 202, DAVIDSON, NC 28036-7603
- **Mailing address phone:** (704) 439-3770
- **Mailing address fax:** (704) 439-3779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 03/17/2014