| Senior Care-northeast | |
|
319 Penny Ln Suite B Concord NC 28025-1221 | |
| (704) 403-7780 | |
| (704) 403-7781 |
| Full Name | Senior Care-northeast |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 319 Penny Ln, Concord, 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 |
|---|---|
| Senior Care-northeast 319 Penny Ln Suite B Concord NC 28025-1221 Ph: (704) 403-7780 | Senior Care-northeast 319 Penny Ln Suite B Concord NC 28025-1221 Ph: (704) 403-7780 |
| NPI Number | 1578709325 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578709325 | NPI | - | NPPES |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 5950737 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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