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Contact Information

CAROLINAS MEDICAL CENTER-NORTHEAST
101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301D
CHARLOTTE, NC28262-7000
 Phone: 704-403-2660
 Fax: 704-403-2670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CAROLINAS MEDICAL CENTER NORTHEAST · (Female)

NPI Number 1689969370
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2011
Last updated 11/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5917532
  • SC Medicaid QPB689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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