Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Development & Behavioral Pediatrics of the Carolina's-Charlotte
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
4501 CAMERON VALLEY PKWY, SUITE 301-B, CHARLOTTE, NC 28211-4297
(704) 403-2626
(704) 403-6949
Mailing address
4501 CAMERON VALLEY PKWY, SUITE 301-B, CHARLOTTE, NC 28211-4297
(704) 403-2626
(704) 403-6949
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921007
—
NC
Enumeration date
05/17/2012
Last updated
07/30/2013
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