| Organization Name: | CMC-NORTHEAST, INC. |
| NPI Number: | 1043525280 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRIEDA M LOWDER (SR VP) |
| Mailing Address: | 6600 Wilkinson Blvd Carolinas Pediatric Neurology Care - Holy Angels Belmont |
| State: | NC US |
| Postal Code: | 280122796 |
| 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. |