Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
WEDDINGTON INTERNAL MEDICINE & PEDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
3020 WEDDINGTON RD, CONCORD, NC 28027-8158
(704) 403-7770
(704) 403-7710
Mailing address
3020 WEDDINGTON RD, CONCORD, NC 28027-8158
(704) 403-7770
(704) 403-7710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01454
BCBS GROUP ID
NC
01
—
019FH
BCBS EFF 7-1-07
NC
01
—
355573
MAMSI
NC
01
—
566000156036
TRICARE STANDARD, NON NWK
NC
05
—
5906960
—
NC
05
—
7901454
—
NC
01
—
C572
PARTNERS MEDICARE CHOICE
NC
01
—
CC2854
RAILROAD MEDICARE
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
05/27/2006
Last updated
03/28/2014
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