Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
NORTHEAST NEUROLOGY -HUNTERSVILLE
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
9625 NORTHCROSS CENTER CT, SUITE 102-F, HUNTERSVILLE, NC 28078-7348
(800) 230-1721
(704) 403-1901
Mailing address
9625 NORTHCROSS CENTER CT, SUITE 102-F, HUNTERSVILLE, NC 28078-7348
(800) 230-1721
(704) 403-1901
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019GN
BCBSNC
NC
05
—
5908519
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
10/16/2007
Last updated
03/25/2013
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