| Northeast Endocrinology - Harrisburg | |
|
5427 Highway 49 S Northeast Endocrinology-harrisburg Harrisburg NC 28075-7408 | |
| (704) 455-2065 | |
| (704) 403-1357 |
| Full Name | Northeast Endocrinology - Harrisburg |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 5427 Highway 49 S, Harrisburg, 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 - Harrisburg 5427 Highway 49 S Northeast Endocrinology-harrisburg Harrisburg NC 28075-7408 Ph: (704) 455-2065 | Northeast Endocrinology - Harrisburg 5427 Highway 49 S Northeast Endocrinology-harrisburg Harrisburg NC 28075-7408 Ph: (704) 455-2065 |
| NPI Number | 1043363237 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043363237 | NPI | - | NPPES |
| 019F1 | Other | NC | BCBSNC |
| 355573 | Other | NC | MAMSI |
| 5906982 | Medicaid | NC | |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 0147R | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 566000156076 | Other | NC | TRICARE STANDARD, NON NWK |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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