Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC - NORTHEAST, INC.
Other names
NorthEast OB/GYN Hospitalist Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC - NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR VP OF PHYSICIAN NETWORK)
(704) 403-4146
Entity
Organization
Contact information
Practice address
920 CHURCH ST N, OB/GYN HOSPITALISTS, CONCORD, NC 28025-2927
(704) 403-1632
(704) 403-1356
Mailing address
920 CHURCH ST N, OB/GYN HOSPITALISTS, CONCORD, NC 28025-2927
(704) 403-1632
(704) 403-1356
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911753
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
03/23/2009
Last updated
06/01/2010
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