Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
Carolinas Pediatric Neurology Care - Charlotte
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR. VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
1010 EDGEHILL RD N, CAROLINAS PEDIATRIC NEUROLOGY CARE - CHARLOTTE, CHARLOTTE, NC 28207-1885
(704) 446-1900
(704) 446-6255
Mailing address
1010 EDGEHILL RD N, CAROLINAS PEDIATRIC NEUROLOGY CARE - CHARLOTTE, CHARLOTTE, NC 28207-1885
(704) 446-1900
(704) 446-6255
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
—
5916314
—
NC
05
—
NPB455
—
SC
Enumeration date
08/12/2010
Last updated
11/15/2011
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