Iredell Physician Network LLC

NPI #1205136595 in Troutman, North Carolina

Provider Information

NPI Number
1205136595
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
Nov 2, 2010
Last Updated
Apr 5, 2021

Practice Location

Address
510 N MAIN ST
ZIP Code
28166-9529
Phone
(704) 528-3721

Authorized Official

Name
KATHRYN HELES
Title
CREDENTIALING
Phone
(866) 340-0396

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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