Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Family Care Center of Mocksville
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
MS. VICKIE MORF (REVENUE CYCLE MANAGER)
(704) 878-4542
Entity
Organization
Contact information
Practice address
101 WILKESBORO ST STE B, MOCKSVILLE, NC 27028-2321
(336) 753-0800
(336) 753-0805
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911525
—
NC
Enumeration date
11/14/2006
Last updated
04/27/2022
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