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Cmc-northeast, Inc.
Pediatric Surgery Physician in Concord, North Carolina
NPI 1679512677

Cmc-northeast, Inc. is a Pediatric Surgery Physician based in Concord, NC and is specialized in Pediatric Surgery. Cmc-northeast, Inc. practices in Concord, NC. The NPI Number for Cmc-northeast, Inc. is 1679512677 and holds a License No. (North Carolina).

The current practice location address for Cmc-northeast, Inc. is 100 Medical Park Dr, Concord, NC and can be reached out via phone at 704-403-2660 and via fax at 704-403-2670.

Location: 100 Medical Park Dr, Concord, NC, 28025-2966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679512677
Provider Name
Cmc-northeast, Inc.
Credential
Provider Entity Type
Organization
Address
100 Medical Park Dr, Concord, NC, 28025-2966
Phone Number
704-403-2660
Fax Number
704-403-2670
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
019FN 01 NC BCBS EFF 7-1-07
QPB706 05 SC
DF8926 01 NC RAILROAD MEDICARE PTAN
241255803 01 NC TRICARE
5901473 05 NC
5906961 05 NC
017CP 01 NC BCBS EFF PRIOR TO 7-1-07
7878267 01 NC AETNA
institution
Provider Business Practice Location Address Details
Address
100 Medical Park Dr
City
Concord
State
North Carolina
Zip
28025-2966
Phone Number
704-403-2660
Fax Number
704-403-2670
person
Provider Business Mailing Address Details
Address
100 Medical Park Dr
City
Concord
State
North Carolina
Zip
28025-2966
Phone Number
704-403-2660
Fax Number
704-403-2670
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
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Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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