Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Lung Associates
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
219 LE PHILLIP CT NE, NORTHEAST LUNG ASSOCIATES, CONCORD, NC 28025-2900
(704) 403-7770
(704) 403-7779
Mailing address
219 LE PHILLIP CT NE, NORTHEAST LUNG ASSOCIATES, CONCORD, NC 28025-2900
(704) 403-7770
(704) 403-7779
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109N
BCBS
NC
01
—
019H5
BCBS NC
NC
01
—
2460072
AETNA
—
01
—
4623036
AETNA
—
01
—
4855
PARTNERS
—
05
—
5908099
—
NC
05
—
890109N
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
04/01/2006
Last updated
06/01/2010
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