| Cmc-northeast, Inc. | |
|
10030 Edison Square Dr Nw Suite 100 Concord NC 28027-8252 | |
| (704) 403-7830 | |
| (704) 403-7840 |
| Full Name | Cmc-northeast, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10030 Edison Square Dr Nw, Concord, 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. 10030 Edison Square Dr Nw Suite 100 Concord NC 28027-8252 Ph: (704) 403-7830 | Cmc-northeast, Inc. 10030 Edison Square Dr Nw Suite 100 Concord NC 28027-8252 Ph: (704) 403-7830 |
| NPI Number | 1265764443 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265764443 | NPI | - | NPPES |
| 232009 | Other | NC | MEDICARE PTAN, GROUP |
| 5914718 | Medicaid | NC | |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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The Charlotte-mecklenburg Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Memorial Blvd, Concord, NC 28025 Phone: 704-403-7050 | |
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