institution
Carolinas Medical Center-northeast
Neurology with Special Qualifications in Child Neurology Physician in Concord, North Carolina
NPI 1730135047

Carolinas Medical Center-northeast is a Neurology with Special Qualifications in Child Neurology Physician based in Concord, NC and is specialized in Neurology with Special Qualifications in Child Neurology. Carolinas Medical Center-northeast practices in Concord, NC. The NPI Number for Carolinas Medical Center-northeast is 1730135047 and holds a License No. (North Carolina).

The current practice location address for Carolinas Medical Center-northeast 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, 28025-2948
institution
Provider Profile Details
NPI Number
1730135047
Provider Name
Carolinas Medical Center-northeast
Credential
Provider Entity Type
Organization
Address
100 Medical Park Dr, Concord, NC, 28025-2948
Phone Number
704-403-2660
Fax Number
704-403-2670
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019FG 01 NC BCBS EFF 7-1-07
566000156020 01 NC TRICARE STANDARD, NON NWK
5906952 05 NC
DF8926 01 NC RAILROAD MEDICARE PTAN
89015Y1 05 NC
I912 01 NC PARTNERS MEDICARE CHOICE
355573 01 NC MAMSI
7837542 01 NC AETNA
NPB455 05 SC
015Y1 01 NC BCBS GROUP ID
institution
Provider Business Practice Location Address Details
Address
100 Medical Park Dr
City
State
Zip
28025-2948
Phone Number
704-403-2660
Fax Number
704-403-2670
person
Provider Business Mailing Address Details
Address
100 Medical Park Dr
City
State
Zip
28025-2948
Phone Number
704-403-2660
Fax Number
704-403-2670
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
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Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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