Organization · NPI-2

Cmc - Northeast, INC.

Obstetrics & Gynecology · Concord, NC

NPI number1154578417

StatusActive

Last updated in NPPESAug 19, 2008

Details

NPI: 1154578417
Entity type: Organization (NPI-2)
Legal business name: Cmc - Northeast, INC.
Organization subpart: Yes
Enumeration date: Aug 19, 2008
Last updated: Aug 19, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207V00000X	Obstetrics & Gynecology	–	–	Yes
207VG0400X	Obstetrics & Gynecology, Gynecology	–	–
207VX0000X	Obstetrics & Gynecology, Obstetrics	–	–

Other names

Concord Women'S Specialty (Doing Business As)

Practice location

200 Medical Park Dr
Suite 430 Concord Women'S Specialty
Concord, NC 28025-2982

Phone 704-792-1000 · Fax 704-792-1004

Mailing address

200 Medical Park Dr
Suite 430 Concord Women'S Specialty
Concord, NC 28025-2982

Phone 704-792-1000 · Fax 704-792-1004

Authorized official

Frieda M Lowder
Sr Vice President
7044034146

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