Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
GYN Care of the Carolinas
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA MILLER LOWDER (SR VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
10030 EDISON SQUARE DR, 100-A, CONCORD, NC 28027-8252
(704) 403-7670
(704) 403-7671
Mailing address
10030 EDISON SQUARE DR, 100-A, CONCORD, NC 28027-8252
(704) 403-7670
(704) 403-7671
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922045
—
NC
Enumeration date
12/05/2012
Last updated
01/18/2013
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