| Northeast Internal Medicine | |
|
130 Lake Concord Rd Ne Suite B Ne Internal Medicine Concord NC 28025-1918 | |
| (704) 652-7270 | |
| (704) 788-1935 |
| Full Name | Northeast Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Lake Concord Rd Ne, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7047834146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Internal Medicine 130 Lake Concord Rd Ne Suite B Ne Internal Medicine Concord NC 28025-1918 Ph: (704) 652-7270 | Northeast Internal Medicine 130 Lake Concord Rd Ne Suite B Ne Internal Medicine Concord NC 28025-1918 Ph: (704) 652-7270 |
| NPI Number | 1093762627 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093762627 | NPI | - | NPPES |
| 355573 | Other | NC | MAMSI |
| 566000156041 | Other | NC | TRICARE STANDARD, NON NWK |
| F158 | Other | NC | PARTNERS MEDICARE CHOICE |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| 011XF | Other | NC | BCBS GROUP ID |
| 89011XF | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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