Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Senior Care-NorthEast
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
319 PENNY LN, SUITE B, CONCORD, NC 28025-1221
(704) 403-7780
(704) 403-7781
Mailing address
319 PENNY LN, SUITE B, CONCORD, NC 28025-1221
(704) 403-7780
(704) 403-7781
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950737
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
12/29/2008
Last updated
03/29/2013
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