| Carolinas Pediatric Neurology Care - Concord | |
|
100 Medical Park Dr Suite 310 Concord NC 28025-2948 | |
| (704) 403-2660 | |
| (704) 403-2670 |
| Full Name | Carolinas Pediatric Neurology Care - Concord |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 100 Medical Park Dr, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Pediatric Neurology Care - Concord 100 Medical Park Dr Suite 310 Concord NC 28025-2948 Ph: (704) 403-2660 | Carolinas Pediatric Neurology Care - Concord 100 Medical Park Dr Suite 310 Concord NC 28025-2948 Ph: (704) 403-2660 |
| NPI Number | 1730135047 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730135047 | NPI | - | NPPES |
| 019FG | Other | NC | BCBS EFF 7-1-07 |
| 566000156020 | Other | NC | TRICARE STANDARD, NON NWK |
| 5906952 | Medicaid | NC | |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 89015Y1 | Medicaid | NC | |
| I912 | Other | NC | PARTNERS MEDICARE CHOICE |
| 355573 | Other | NC | MAMSI |
| 7837542 | Other | NC | AETNA |
| NPB455 | Medicaid | SC | |
| 015Y1 | Other | NC | BCBS GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Spring St Sw, Concord, NC 28025 Phone: 704-786-1539 Fax: 866-790-1485 | |
Northeast Neurology-copperfield Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025 Phone: 704-403-1911 Fax: 704-403-1901 | |
1st Step Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10912 Mccamie Hill Pl, Concord, NC 28025 Phone: 980-319-4357 | |
Great Rose Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Union St S Ste Ll228, Concord, NC 28025 Phone: 704-791-0611 | |
Empowered To Succed Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Derita Rd, Concord, NC 28027 Phone: 704-788-4511 | |
Victory Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Union St S Ste 200, Concord, NC 28025 Phone: 704-918-9741 Fax: 704-270-6213 |