| Northeast Endocrinology | |
|
1085 Northeast Gateway Court, Ne Suite 330 Concord NC 28025-2406 | |
| (704) 403-8320 | |
| (704) 403-8321 |
| Full Name | Northeast Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1085 Northeast Gateway Court, Ne, 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 |
|---|---|
| Northeast Endocrinology 1085 Northeast Gateway Court, Ne Suite 330 Concord NC 28025-2406 Ph: (704) 403-8320 | Northeast Endocrinology 1085 Northeast Gateway Court, Ne Suite 330 Concord NC 28025-2406 Ph: (704) 403-8320 |
| NPI Number | 1386683472 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386683472 | NPI | - | NPPES |
| 355573 | Other | NC | MAMSI |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 0147R | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 566000156025 | Other | NC | TRICARE STANDARD, NON NWK |
| 890147R | Medicaid | NC | |
| 7368 | Other | NC | PARTNERS MEDICARE CHOICE |
| 019F1 | Other | NC | BCBS EFF 7-1-07 |
| 5906970 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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