Organization · Type 2 NPI

Cmc-Northeast, Inc.

Neurology with Special Qualifications in Child Neurology Physician · Gastonia, NC

NPI number 1174823900 Active

Practice location

2550 Court Dr, Suite 203
Gastonia, NC 28054-2152

Fax (704) 403-2670

Specialties and licenses

Taxonomy	Code	License
Neurology with Special Qualifications in Child Neurology Physician Primary	2084N0402X	None listed

Neurology with Special Qualifications in Child Neurology Physician: 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.

14 other providers at this address

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NPI record

NPI: 1174823900
Entity type: Organization (Type 2)
Issued: Oct 27, 2010
Last updated: Nov 15, 2011
Status: Active
Subpart: Yes of Cmc-Northeast, Inc.

Other names

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Carolinas Pediatric Neurology Care - Gastonia · doing business as

Authorized official

Frieda M Lowder
Sr. Vice President
(704) 403-4146

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About NPI 1174823900

Cmc-Northeast, Inc.'s National Provider Identifier is 1174823900, issued on Oct 27, 2010. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Gastonia, NC. The record was last updated on Nov 15, 2011.