| Northeast Neurology-copperfield | |
|
270 Copperfield Blvd Ne Suite 201 Concord NC 28025-2441 | |
| (704) 403-1911 | |
| (704) 403-1901 |
| Full Name | Northeast Neurology-copperfield |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 270 Copperfield Blvd Ne, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (SR VP) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Neurology-copperfield 270 Copperfield Blvd Ne Suite 201 Concord NC 28025-2441 Ph: (704) 403-1911 | Northeast Neurology-copperfield 270 Copperfield Blvd Ne Suite 201 Concord NC 28025-2441 Ph: (704) 403-1911 |
| NPI Number | 1013233527 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013233527 | NPI | - | NPPES |
| 232009 | Other | NC | MEDICARE PTAN, GROUP |
| 5915536 | Medicaid | NC | |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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