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Organization

CAROLINAS MEDICAL CENTER-NORTHEAST

Active
Other names
CMC-NorthEast, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FRIEDA M LOWDER (SR. VP OF PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization

Contact information

Practice address
920 CHURCH ST N, NORTHEAST PHYSICIAN NETWORK, CONCORD, NC 28025-2927
(704) 403-1780
(704) 795-2181
Mailing address
920 CHURCH ST N, NORTHEAST PHYSICIAN NETWORK, CONCORD, NC 28025-2927
(704) 403-1780
(704) 795-2181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RH0003X
Hematology & Oncology Physician
207RI0200X
Infectious Disease Physician
207RR0500X
Rheumatology Physician
207VM0101X
Maternal & Fetal Medicine Physician
208000000X
Pediatrics Physician
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
2080P0203X
Pediatric Critical Care Medicine Physician
2080P0205X
Pediatric Endocrinology Physician
2083X0100X
Occupational Medicine Physician
2084N0400X
Neurology Physician
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019F5
BCBS EFF 7-1-07
NC
01
0762A
BCBS GROUP ID
NY
05
790762A
NC
01
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
03/29/2006
Last updated
03/30/2011
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