Iredell Physician Network LLC

NPI #1235711334 in Mooresville, North Carolina

Provider Information

NPI Number
1235711334
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
Apr 27, 2021
Last Updated
Jun 4, 2021

Practice Location

Address
653 BLUEFIELD ROAD
Address 2
SUITE F
ZIP Code
28117
Phone
(704) 883-3378

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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