| Carolinas Pediatric Neurology Care - Hickory | |
|
1781 Tate Blvd Se Carolinas Pediatric Neurology Care - Hickory Hickory NC 28602-4251 | |
| (704) 446-1900 | |
| (704) 446-6255 |
| Full Name | Carolinas Pediatric Neurology Care - Hickory |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1781 Tate Blvd Se, Hickory, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (SR VP) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Pediatric Neurology Care - Hickory 1781 Tate Blvd Se Carolinas Pediatric Neurology Care - Hickory Hickory NC 28602-4251 Ph: (704) 446-1900 | Carolinas Pediatric Neurology Care - Hickory 1781 Tate Blvd Se Carolinas Pediatric Neurology Care - Hickory Hickory NC 28602-4251 Ph: (704) 446-1900 |
| NPI Number | 1033424270 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033424270 | NPI | - | NPPES |
| 5916322 | Medicaid | NC | |
| NPB455 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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