Northeast Dermatology

LBN: Carolinas Medical Center-Northeast
Northeast Dermatology is an health care organization with primary practice located at 200 Medical Park Drive Suite 320, Concord NC 28025-0936. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Carolinas Medical Center-Northeast can be contacted via phone (704) 403-2777, or through Lowder, Frieda M via phone (704) 403-4146.

Contact Information

Primary practice address
200 Medical Park Drive Suite 320 Concord NC 28025-0936
Fax: (704) 403-2779
Website:
Authorized official contact:
Name: Lowder, Frieda M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1518237825
LBN Legal business name Carolinas Medical Center-Northeast
DBA Doing business as Northeast Dermatology
Authorized official Lowder, Frieda M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 3rd, 2012
Last updated Mar 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518237825 NPPES
North Carolina Other 232009 MEDICARE PTAN, GROUP
North Carolina MEDICAID 5919313 MEDICARE PTAN, GROUP
North Carolina Other DF8926 MEDICARE PTAN, GROUP

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