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Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Other names
Iredell Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIE COCHRAN (CREDENTIALING)
(336) 306-9755
Entity
Organization
Contact information
Practice address
544 BRAWLEY SCHOOL RD STE A, MOORESVILLE, NC 28117-9393
(704) 360-5190
(704) 360-5180
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
02/12/2024
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