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Cmc-northeast, Inc.
Pediatric Critical Care Medicine Physician in Concord, North Carolina
NPI 1447299524

Cmc-northeast, Inc. is a Pediatric Critical Care Medicine Physician based in Concord, NC and is specialized in Pediatric Critical Care Medicine. Cmc-northeast, Inc. practices in Concord, NC. The NPI Number for Cmc-northeast, Inc. is 1447299524 and holds a License No. (North Carolina).

The current practice location address for Cmc-northeast, Inc. is 920 Church St N, Concord, NC and can be reached out via phone at 704-403-3040 and via fax at 704-403-3043.

Location: 920 Church St N, Concord, NC, 28025-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447299524
Provider Name
Cmc-northeast, Inc.
Credential
Provider Entity Type
Organization
Address
920 Church St N, Concord, NC, 28025-2927
Phone Number
704-403-3040
Fax Number
704-403-3043
Provider Enumeration Date
06/05/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
355573 01 NC MAMSI
89014XC 05 NC
019FR 01 NC BCBS EFF 7-1-07
DF8926 01 NC RAILROAD MEDICARE PTAN
014XC 01 NC BCBS GROUP ID
5906951 05 NC
125262 01 NC WELLPATH GROUP ID
566000156002 01 NC TRICARE STANDARD, NON NWK
CC2854 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
920 Church St N
City
Concord
State
North Carolina
Zip
28025-2927
Phone Number
704-403-3040
Fax Number
704-403-3043
person
Provider Business Mailing Address Details
Address
920 Church St N
City
Concord
State
North Carolina
Zip
28025-2927
Phone Number
704-403-3040
Fax Number
704-403-3043
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
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Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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