Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Endocrinology - Harrisburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
5427 HIGHWAY 49 S, NORTHEAST ENDOCRINOLOGY-HARRISBURG, HARRISBURG, NC 28075-7408
(704) 455-2065
(704) 403-1357
Mailing address
5427 HIGHWAY 49 S, NORTHEAST ENDOCRINOLOGY-HARRISBURG, HARRISBURG, NC 28075-7408
(704) 455-2065
(704) 403-1357
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147R
BCBS EFF PRIOR TO 7-1-07
NC
01
—
019F1
BCBSNC
NC
01
—
355573
MAMSI
NC
01
—
566000156076
TRICARE STANDARD, NON NWK
NC
05
—
5906982
—
NC
01
—
CC2854
RAILROAD MEDICARE
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
01/19/2007
Last updated
06/01/2010
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