Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC - NORTHEAST, INC.
Other names
NorthEast Plastic & Reconstructive Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC - NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 520, CONCORD, NC 28025-2982
(704) 403-2760
(704) 403-2779
Mailing address
200 MEDICAL PARK DR, SUITE 520, CONCORD, NC 28025-2982
(704) 403-2760
(704) 403-2779
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911740
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
04/01/2009
Last updated
06/01/2010
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