Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
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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