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Organization

CAROLINAS MEDICAL CENTER-NORTHEAST

Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Carolina Pediatric Gastroenterology-University
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (SR VP)
(704) 403-4146
Entity
Organization

Contact information

Practice address
101 EAST W T HARRIS BLVD, BLDG 3000, SUITE 3301E, CHARLOTTE, NC 28262-7000
(704) 403-2660
(704) 403-2670
Mailing address
101 EAST W T HARRIS BLVD, BLDG 3000, SUITE 3301E, CHARLOTTE, NC 28262-7000
(704) 403-2660
(704) 403-2670

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5919138
NC
Enumeration date
08/15/2011
Last updated
03/06/2012
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