Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
Carolinas Pediatric Neurology Care - Gastonia
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
2550 COURT DR, SUITE 203, GASTONIA, NC 28054-2152
(704) 403-2660
(704) 403-2670
Mailing address
2550 COURT DR, SUITE 203, GASTONIA, NC 28054-2152
(704) 403-2660
(704) 403-2670
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916350
—
NC
05
—
NPB455
—
SC
Enumeration date
10/27/2010
Last updated
11/15/2011
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