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Organization
CMC-NORTHEAST, INC.
Active
Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Pediatric Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
MRS. FRIEDA M LOWDER (VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
920 CHURCH ST N, SUITE: PEDIATRIC HOSPITALISTS, CONCORD, NC 28025-2927
(704) 403-1331
(704) 403-2533
Mailing address
920 CHURCH ST N, SUITE: PEDIATRIC HOSPITALISTS, CONCORD, NC 28025-2927
(704) 403-1331
(704) 403-2533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019NH
BCBS
NC
05
—
5908521
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
09/11/2007
Last updated
06/01/2010
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