| Cmc-northeast, Inc. | |
|
709 N Dekalb St Carolinas Pediatric Neurology Care - Shelby Shelby NC 28150-3911 | |
| (704) 446-1900 | |
| (704) 446-6255 |
| Full Name | Cmc-northeast, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 709 N Dekalb St, Shelby, 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 |
|---|---|
| Cmc-northeast, Inc. 709 N Dekalb St Carolinas Pediatric Neurology Care - Shelby Shelby NC 28150-3911 Ph: (704) 446-1900 | Cmc-northeast, Inc. 709 N Dekalb St Carolinas Pediatric Neurology Care - Shelby Shelby NC 28150-3911 Ph: (704) 446-1900 |
| NPI Number | 1144535386 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144535386 | NPI | - | NPPES |
| 5916241 | 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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