| Northeast Neurology -huntersville | |
|
9625 Northcross Center Ct Suite 102-f Huntersville NC 28078-7348 | |
| (800) 230-1721 | |
| (704) 403-1901 |
| Full Name | Northeast Neurology -huntersville |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9625 Northcross Center Ct, Huntersville, 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 |
|---|---|
| Northeast Neurology -huntersville 9625 Northcross Center Ct Suite 102-f Huntersville NC 28078-7348 Ph: (800) 230-1721 | Northeast Neurology -huntersville 9625 Northcross Center Ct Suite 102-f Huntersville NC 28078-7348 Ph: (800) 230-1721 |
| NPI Number | 1700075702 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 03/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700075702 | NPI | - | NPPES |
| 5908519 | Medicaid | NC | |
| 019GN | Other | NC | BCBSNC |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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