NPI: 1972806321
Provider Name: CMC-NORTHEAST, INC.
Doing Business As: CAROLINAS PEDIATRIC NEUROLOGY CARE - CHARLOTTE SPECIALTY CENTER
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization
Specialization: Neurology with Special Qualifications in Child Neurology
Address:
1001 BLYTHE BLVD
SUITE 200 CPNC - CHARLOTTE SPECIALTY CENTER
CHARLOTTE, NC
ZIP 28203
Phone: (704) 381-8840
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CMC-NORTHEAST, INC. is a neurology with special qualifications in child neurology psychiatry neurology in Charlotte, NC. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CMC-NORTHEAST, INC. NPI is 1972806321. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Pediatric Neurology Care - Charlotte Specialty Center.
The provider's business location address is:
1001 BLYTHE BLVD
SUITE 200 CPNC - CHARLOTTE SPECIALTY CENTER
CHARLOTTE, NC
ZIP 28203-866
Phone: (704) 381-8840
Fax: (704) 381-8848
The provider's authorized official is Frieda M Lowder .
The authorized official title is Sr Vp and has the following contact phone number (704) 403-4146.
The enumeration date for this NPI number is 12/7/2010 and was last updated on 11/15/2011.