Organization · Type 2 NPI

Cmc-Northeast, Inc.

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

NPI number 1972806321 Active

Practice location

1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center
Charlotte, NC 28203-5866

Fax (704) 381-8848

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.

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NPI record

NPI: 1972806321
Entity type: Organization (Type 2)
Issued: Dec 7, 2010
Last updated: Nov 15, 2011
Status: Active
Subpart: Yes of Cmc-Northeast, Inc.

Other names

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Carolinas Pediatric Neurology Care - Charlotte Specialty Center · doing business as

Authorized official

Frieda M Lowder
SR VP
(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 1972806321

Cmc-Northeast, Inc.'s National Provider Identifier is 1972806321, issued on Dec 7, 2010. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Charlotte, NC. The record was last updated on Nov 15, 2011.