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Contact Information

CMC-NORTHEAST, INC.
9625 NORTHCROSS CENTER CT
SUITE 102-C
HUNTERSVILLE, NC28078-7348
 Phone: 704-801-1240
 Fax: 704-801-1240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CMC NORTHEAST INC · (Female)

NPI # 1770728487
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2008
Last updated 08/21/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5914678
  • SC Medicaid QPB689
  • NC Other DF8926 RAILROAD MEDICARE PTAN
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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