Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Carolina Pediatric Surgery - University
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
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301A, CHARLOTTE, NC 28262-7000
(704) 403-2660
(704) 403-2670
Mailing address
101 E W T HARRIS BLVD, BLDG 3000, SUITE 3301A, CHARLOTTE, NC 28262-7000
(704) 403-2660
(704) 403-2670
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917530
—
NC
05
—
QPB706
—
SC
Enumeration date
06/10/2011
Last updated
11/15/2011
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