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Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Iredell Endocrinology
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
MS. ANNA PURCELL (DIRECTOR)
(704) 878-4569
Entity
Organization
Contact information
Practice address
143 JOE KNOX AVE, SUITE 100, MOORESVILLE, NC 28117-9243
(704) 878-4500
(704) 872-7924
Mailing address
PO BOX 25867, WINSTON SALEM, NC 27114-5867
(704) 878-4500
(704) 872-7924
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9400602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950095
—
NC
Enumeration date
04/29/2008
Last updated
05/12/2010
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