Organization Name: | CMC-NORTHEAST, INC. |
NPI Number: | 1033424270 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRIEDA M LOWDER (SR VP) |
Mailing Address: | 1781 Tate Blvd Se Carolinas Pediatric Neurology Care - Hickory Hickory |
State: | NC US |
Postal Code: | 286024251 |
Phone Number: | 7044461900 |
Fax Number: | 7044466255 |
NPI Enumeration Date: | 08/12/2010 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084N0402X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Neurology with Special Qualifications in Child Neurology |
Taxonomy Definition: | 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. |