# IREDELL PHYSICIAN NETWORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IREDELL PHYSICIAN NETWORK LLC
- **Other names:** Iredell Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003081175
- **Legal business name:** IREDELL PHYSICIAN NETWORK LLC
- **Authorized official:** MS. ANNA PURCELL (DIRECTOR)
- **Authorized official phone:** (704) 878-4569

## Contact information

- **Practice address:** 143 JOE KNOX AVE, SUITE 100, MOORESVILLE, NC 28117-9243
- **Practice address phone:** (704) 878-4500
- **Practice address fax:** (704) 872-7924
- **Mailing address:** PO BOX 25867, WINSTON SALEM, NC 27114-5867
- **Mailing address phone:** (704) 878-4500
- **Mailing address fax:** (704) 872-7924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 9400602 | NC | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 05/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5950095 | — | NC |