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CMC-NORTHEAST INC. NPI 1043525280


NPI Information

NPI: 1043525280
Provider Name: CMC-NORTHEAST, INC.

Doing Business As: CAROLINAS PEDIATRIC NEUROLOGY CARE - HOLY ANGELS

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
6600 WILKINSON BLVD
CAROLINAS PEDIATRIC NEUROLOGY CARE - HOLY ANGELS
BELMONT, NC
ZIP 28012
Phone: (704) 446-1900
Get Directions

CMC-NORTHEAST, INC. is a neurology with special qualifications in child neurology psychiatry neurology in Belmont, NC. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CMC-NORTHEAST, INC. NPI is 1043525280. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Pediatric Neurology Care - Holy Angels.

The provider's business location address is:

6600 WILKINSON BLVD
CAROLINAS PEDIATRIC NEUROLOGY CARE - HOLY ANGELS
BELMONT, NC
ZIP 28012-796
Phone: (704) 446-1900
Fax: (704) 446-6255

The provider's authorized official is Frieda M Lowder .
The authorized official title is Sr Vp and has the following contact phone number (704) 403-4146.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15916346MEDICAIDNORTH CAROLINA
2NPB455MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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