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CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1518237825


NPI Information

NPI: 1518237825
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: NORTHEAST DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
200 MEDICAL PARK DRIVE
SUITE 320
CONCORD, NC
ZIP 28025
Phone: (704) 403-2777
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CAROLINAS MEDICAL CENTER-NORTHEAST is a dermatology in Concord, NC. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1518237825. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Dermatology.

The provider's business location address is:

200 MEDICAL PARK DRIVE
SUITE 320
CONCORD, NC
ZIP 28025-936
Phone: (704) 403-2777
Fax: (704) 403-2779

The provider's authorized official is Frieda M 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 1/3/2012 and was last updated on 3/28/2012.


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
1207N00000XDermatologyYes

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
15919313MEDICAIDNORTH CAROLINA
2DF8926OTHERNORTH CAROLINARAILROAD MEDICARE PTAN, GROUP
3232009OTHERNORTH CAROLINAMEDICARE PTAN, GROUP

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: 4/28/2024

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