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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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