Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Carolinas Pediatric Neurology Care-Ballantyne
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
FRIEDA MILLER LOWDER (SR VICE PRESIDENT)
(704) 403-1780
Entity
Organization
Contact information
Practice address
12311 COPPER WAY, SUITE 200-A, CHARLOTTE, NC 28277-3642
(704) 403-2660
(704) 403-2670
Mailing address
12311 COPPER WAY, SUITE 200-A, CHARLOTTE, NC 28277-3642
(704) 403-2660
(704) 403-2670
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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