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CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1770821035


NPI Information

NPI: 1770821035
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: NORTHEAST NEUROLOGY - UNIVERSITY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
101 E W T HARRIS BLVD
STE 5202
CHARLOTTE, NC
ZIP 28262
Phone: (704) 403-1911
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CAROLINAS MEDICAL CENTER-NORTHEAST is a neurology psychiatry neurology in Charlotte, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1770821035. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Neurology - University.

The provider's business location address is:

101 E W T HARRIS BLVD
STE 5202
CHARLOTTE, NC
ZIP 28262-443
Phone: (704) 403-1911
Fax: (704) 403-1901

The provider's authorized official is Frieda Miller Lowder .
The authorized official title is Sr Vice President and has the following contact phone number (704) 403-4146.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 1/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1232009MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.