Iredell Physician Network LLC

NPI #1154609147 in Statesville, North Carolina

Provider Information

NPI Number
1154609147
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
Jul 26, 2011
Last Updated
Jul 26, 2011

Practice Location

Address
1714 DAVIE AVE
ZIP Code
28677-3522
Phone
(704) 768-0546

Authorized Official

Name
ANNA PURCELL
Title
DIR MANAGED CARE
Phone
(704) 878-4569

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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