| Cmc-northeast, Inc. | |
|
200 Medical Park Dr Ste 208, Northeast Infectious Diseases Concord NC 28025-2982 | |
| (704) 403-1766 | |
| (704) 403-1096 |
| Full Name | Cmc-northeast, Inc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 200 Medical Park Dr, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc-northeast, Inc. 200 Medical Park Dr Ste 208, Northeast Infectious Diseases Concord NC 28025-2982 Ph: (704) 403-1766 | Cmc-northeast, Inc. 200 Medical Park Dr Ste 208, Northeast Infectious Diseases Concord NC 28025-2982 Ph: (704) 403-1766 |
| NPI Number | 1013956028 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013956028 | NPI | - | NPPES |
| CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
| 019FX | Other | NC | BCBS EFF 7-1-07 |
| 355573 | Other | NC | MAMSI GROUP |
| 566000156002 | Other | NC | TRICARE STANDARD, NON NWK |
| 5906967 | Medicaid | NC | |
| 7390 | Other | NC | PARTNERS MEDICARE CHOICE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 0233R | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 890233R | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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