Organization · NPI-2

Carolinas Medical Center-Northeast

Obstetrics & Gynecology, Gynecology · Concord, NC

NPI number1306181128
StatusActive
Last updated in NPPESJan 18, 2013

Details

NPI
1306181128
Entity type
Organization (NPI-2)
Legal business name
Carolinas Medical Center-Northeast
Organization subpart
Yes
Enumeration date
Dec 5, 2012
Last updated
Jan 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology––Yes

Other names

  • Gyn Care Of The Carolinas (Doing Business As)

Practice location

10030 Edison Square Dr
100-A
Concord, NC 28027-8252

Phone 704-403-7670 · Fax 704-403-7671

Mailing address

10030 Edison Square Dr
100-A
Concord, NC 28027-8252

Phone 704-403-7670 · Fax 704-403-7671

Authorized official

Frieda Miller Lowder
Sr Vice President
7044034146

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