Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
Rocky River Pediatrics
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
5427 HIGHWAY 49 S, ROCKY RIVER PEDIATRICS, HARRISBURG, NC 28075-7408
(704) 455-5565
(704) 455-6225
Mailing address
5427 HIGHWAY 49 S, HARRISBURG, NC 28075-7408
(704) 455-5565
(704) 455-6225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906981
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
07/17/2009
Last updated
06/01/2010
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