Provider Demographics
NPI:1194159699
Name:THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRIEDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-403-1780
Mailing Address - Street 1:2101 SHILOH CHURCH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7603
Mailing Address - Country:US
Mailing Address - Phone:704-439-3730
Mailing Address - Fax:704-439-3759
Practice Address - Street 1:2101 SHILOH CHURCH RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7603
Practice Address - Country:US
Practice Address - Phone:704-439-3730
Practice Address - Fax:704-439-3759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty