Iredell Physician Network LLC

NPI #1467107359 in Statesville, North Carolina

Provider Information

NPI Number: 1467107359
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: Feb 18, 2022
Last Updated: Feb 18, 2022

Practice Location

Address: 728 HARTNESS RD
City: Statesville
State: North Carolina
ZIP Code: 28677-3425
Phone: (704) 230-4382

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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