Organization
CONCORD WOMEN'S SPECIALTY CARE, INC.
Active
Other names
Concord Women's Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 430 CONCORD WOMENS SPECIALTY CARE, CONCORD, NC 28025-2982
(704) 403-6900
(704) 403-6949
Mailing address
200 MEDICAL PARK DR, SUITE 430 CONCORD WOMENS SPECIALTY CARE, CONCORD, NC 28025-2982
(704) 403-6900
(704) 403-6949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950359
—
NC
01
—
CN5865
RAILROAD MEDICARE PTAN
NC
Enumeration date
08/06/2008
Last updated
10/01/2012
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