Organization · Type 2 NPI

Carolinas Medical Center-Northeast

Neurology Physician · Monroe, NC

NPI number 1154769636 Active

Practice location

600 Hospital Dr, Suite A
Monroe, NC 28112-6000

Fax (704) 403-1901

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

120 other providers at this address

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NPI record

NPI: 1154769636
Entity type: Organization (Type 2)
Issued: Jun 6, 2013
Last updated: Jun 6, 2013
Status: Active
Subpart: Yes of Carolinas Medical Center-Northeast

Other names

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Northeast Neurology-Union · doing business as

Authorized official

Fried Miller Lowder
SR Vice President
(704) 403-4146

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154769636

Carolinas Medical Center-Northeast's National Provider Identifier is 1154769636, issued on Jun 6, 2013. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Monroe, NC. The record was last updated on Jun 6, 2013.