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Organization

IREDELL PHYSICIAN NETWORK, LLC

Active
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Organization

IREDELL PHYSICIAN NETWORK, LLC

Active
Parent organization
IREDELL PHYSICIAN NETWORK, LLC
Other names
Iredell Pain Management
Organization subpart
Yes

Provider details

NPI number
Legal business name
IREDELL PHYSICIAN NETWORK, LLC
Authorized official
JOANIE M COCHRAN (CREDENTIALING AGENT)
(336) 306-9755
Entity
Organization

Contact information

Practice address
653 BLUEFIELD RD STE H, MOORESVILLE, NC 28117-9599
(336) 306-9755
Mailing address
653 BLUEFIELD RD STE H, MOORESVILLE, NC 28117-9599
(336) 306-9755

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—

Other

Enumeration date
03/21/2023
Last updated
07/20/2023
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