Iredell Physician Network, LLC
NPI #1114704558 in Statesville, North Carolina
Provider Information
- NPI Number
- 1114704558
- Entity Type
- Organization
- Organization Name
- Iredell Physician Network, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IREDELL PHYSICIAN NETWORK, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 11, 2023
- Last Updated
- Oct 1, 2024
Practice Location
- Address
- 738 BRYANT ST
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28677-4189
- Phone
- (704) 230-4382
Authorized Official
- Name
- JOANIE M COCHRAN
- Title
- CREDENTIALING
- Phone
- (336) 306-9755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Internal Medicine |
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