| NPI | 1740236041 |
|---|---|
| Doing Business As | NORTHEAST NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | FRIEDA M LOWDER VP Physician Services 704-403-4146 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-03-15 |