Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Carolinas Pediatric Neurology Care-Morrocroft
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization
Contact information
Practice address
4501 CAMERON VALLEY PKWY, SUITE 301-A, CHARLOTTE, NC 28211-4297
(704) 403-2660
(704) 403-2670
Mailing address
4501 CAMERON VALLEY PKWY, SUITE 301-A, CHARLOTTE, NC 28211-4297
(704) 403-2660
(704) 403-2670
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920684
—
NC
Enumeration date
05/10/2012
Last updated
09/05/2012
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