| Carolinas Pediatric Neurology Care - Gastonia | |
|
2550 Court Dr Suite 203 Gastonia NC 28054-2152 | |
| (704) 403-2660 | |
| (704) 403-2670 |
| Full Name | Carolinas Pediatric Neurology Care - Gastonia |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2550 Court Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (SR. VICE PRESIDENT) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Pediatric Neurology Care - Gastonia 2550 Court Dr Suite 203 Gastonia NC 28054-2152 Ph: (704) 403-2660 | Carolinas Pediatric Neurology Care - Gastonia 2550 Court Dr Suite 203 Gastonia NC 28054-2152 Ph: (704) 403-2660 |
| NPI Number | 1174823900 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174823900 | NPI | - | NPPES |
| NPB455 | Medicaid | SC | |
| 5916350 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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