Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
NorthEast Dermatology-Salisbury
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA MILLER LOWDER (SR VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
340 JAKE ALEXANDER BLVD W, SUITE B, SALISBURY, NC 28147-1364
(704) 403-2777
(704) 403-2779
Mailing address
340 JAKE ALEXANDER BLVD W, SUITE B, SALISBURY, NC 28147-1364
(704) 403-2777
(704) 403-2779
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE PTAN, GROUP
NC
05
—
5921378
—
NC
Enumeration date
07/20/2012
Last updated
10/19/2012
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