Iredell Physician Network LLC

NPI #1235433806 in Statesville, North Carolina

Provider Information

NPI Number: 1235433806
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: Dec 22, 2010
Last Updated: Apr 5, 2021

Practice Location

Address: 757 BRYANT ST
City: Statesville
State: North Carolina
ZIP Code: 28677-4142
Phone: (704) 873-5658

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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