Iredell Physician Network, LLC

NPI #1750085536 in Mooresville, North Carolina

Provider Information

NPI Number: 1750085536
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: Mar 28, 2023
Last Updated: Mar 29, 2023

Practice Location

Address: 653 BLUEFIELD RD STE I
City: Mooresville
State: North Carolina
ZIP Code: 28117-9599
Phone: (704) 360-9310

Authorized Official

Name: JOANIE M COCHRAN
Title: CREDENTIALING
Phone: (336) 306-9755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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