Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Pediatric Pulmonology-Huntersville
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
9625 NORTHCROSS CENTER CT, SUITE 102-C, HUNTERSVILLE, NC 28078-7348
(704) 801-1240
(704) 801-1240
Mailing address
9625 NORTHCROSS CENTER CT, SUITE 102-C, HUNTERSVILLE, NC 28078-7348
(704) 801-1240
(704) 801-1240
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914678
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
05
—
QPB689
—
SC
Enumeration date
12/09/2008
Last updated
08/21/2012
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