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Organization

NORTHEAST SURGICAL SPECIALTIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRIEDA M LOWDER (SR VICE PRESIDENT)
(704) 403-4146
Entity
Organization

Contact information

Practice address
920 CHURCH ST N, NORTHEAST SURGICAL SPECIALTIES, LLC, CONCORD, NC 28025-2927
(704) 403-2276
(704) 795-2181
Mailing address
920 CHURCH ST N, NORTHEAST SURGICAL SPECIALTIES, LLC, CONCORD, NC 28025-2927
(704) 403-2276
(704) 795-2181

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2086S0120X
Pediatric Surgery Physician

Other

Enumeration date
12/20/2006
Last updated
01/06/2009
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