Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
NorthEast Neurology - Denver
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (SR VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
1585 FORNEY CREEK PKWY, SUITE 2200 NORTHEAST NEUROLOGY - DENVER, DENVER, NC 28037-9514
(704) 403-1911
(704) 403-1901
Mailing address
1585 FORNEY CREEK PKWY, SUITE 2200 NORTHEAST NEUROLOGY - DENVER, DENVER, NC 28037-9514
(704) 403-1911
(704) 403-1901
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE PTAN, GROUP
NC
05
—
5915569
—
NC
01
—
DF8926
RAILROAD MEDICARE
NC
Enumeration date
05/12/2010
Last updated
07/31/2013
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