Organization
CMC-NORTHEAST, INC.
Active
Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Neurology-Copperfield
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
270 COPPERFIELD BLVD NE, SUITE 201, CONCORD, NC 28025-2441
(704) 403-1911
(704) 403-1901
Mailing address
270 COPPERFIELD BLVD NE, SUITE 201, CONCORD, NC 28025-2441
(704) 403-1911
(704) 403-1901
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE PTAN, GROUP
NC
05
—
5915536
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
04/09/2010
Last updated
11/16/2010
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