| Northeast Neurology - Denver | |
|
1585 Forney Creek Pkwy Suite 2200 Northeast Neurology - Denver Denver NC 28037-9514 | |
| (704) 403-1911 | |
| (704) 403-1901 |
| Full Name | Northeast Neurology - Denver |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1585 Forney Creek Pkwy, Denver, 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 |
|---|---|
| Northeast Neurology - Denver 1585 Forney Creek Pkwy Suite 2200 Northeast Neurology - Denver Denver NC 28037-9514 Ph: (704) 403-1911 | Northeast Neurology - Denver 1585 Forney Creek Pkwy Suite 2200 Northeast Neurology - Denver Denver NC 28037-9514 Ph: (704) 403-1911 |
| NPI Number | 1457679672 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457679672 | NPI | - | NPPES |
| DF8926 | Other | NC | RAILROAD MEDICARE |
| 232009 | Other | NC | MEDICARE PTAN, GROUP |
| 5915569 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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