Organization
CMC-NORTHEAST, INC.
Active
Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Transition of Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR. VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
920 CHURCH ST N, NORTHEAST TRANSITION OF CARE, CONCORD, NC 28025-2927
(704) 403-3970
(704) 403-3960
Mailing address
920 CHURCH ST N, NORTHEAST TRANSITION OF CARE, CONCORD, NC 28025-2927
(704) 403-3970
(704) 403-3960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE, GROUP PTAN
NC
05
—
5915452
—
NC
Enumeration date
09/20/2010
Last updated
02/03/2011
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