Imh Prof Infect Disease

NPI #1043248610 in Statesville, North Carolina

Provider Information

NPI Number
1043248610
Entity Type
Organization
Organization Name
Imh Prof Infect Disease
Subpart
Yes (part of a larger organization)
Parent Organization
IREDELL MEMORIAL HOSPITAL
Primary Specialty
Specialist
Enumeration Date
Jun 30, 2006
Last Updated
Aug 28, 2008

Practice Location

Address
557 BROOKDALE DR
ZIP Code
28677-4107
Phone
(704) 873-5661

Authorized Official

Name
MR. ED RUSH
Title
PRESIDENT
Phone
(704) 873-5661

Specialties & Taxonomy Codes

Specialty
Specialist

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Organizations

Provider Name
Iredell Physician Network LLC

Part of Iredell Physician Network LLC

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