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920 Church St N Northeast Physician Network Concord NC 28025-2927 | |
| (704) 403-1780 | |
| (704) 795-2181 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 Church St N, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (SR. VP OF PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
920 Church St N Northeast Physician Network Concord NC 28025-2927 Ph: (704) 403-1780 | 920 Church St N Northeast Physician Network Concord NC 28025-2927 Ph: (704) 403-1780 |
| NPI Number | 1740241801 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740241801 | NPI | - | NPPES |
| 019F5 | Other | NC | BCBS EFF 7-1-07 |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 790762A | Medicaid | NC | |
| 0762A | Other | NY | BCBS GROUP ID |
| DF8926 | Other | NC | RAILROAD PTAN |
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