Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Cabarrus OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 250, CONCORD, NC 28025-2982
(704) 403-2740
(704) 403-2744
Mailing address
200 MEDICAL PARK DR, SUITE 250, CONCORD, NC 28025-0933
(704) 403-2740
(704) 403-2744
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911483
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
12/22/2008
Last updated
08/27/2013
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