Iredell Physician Network LLC

NPI #1053360180 in Statesville, North Carolina

Provider Information

NPI Number
1053360180
Entity Type
Organization
Organization Name
Iredell Physician Network LLC
Subpart
Yes (part of a larger organization)
Parent Organization
IREDELL PHYSICIAN NETWORK LLC
Primary Specialty
Family Medicine
Enumeration Date
May 8, 2006
Last Updated
Oct 1, 2024

Practice Location

Address
310 DAVIE AVE
ZIP Code
28677-5319
Phone
(704) 873-3269

Authorized Official

Name
CARLA JOHNSON
Title
DIRECTOR OF OPERATIONS
Phone
(704) 873-5661

Specialties & Taxonomy Codes

Specialty
Family Medicine

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