Organization
IREDELL PHYSICIAN NETWORK
Active
Other names
STOUT INTERNAL MEDICINE & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
SKIP SMITH (CFO)
(704) 495-3162
Entity
Organization
Contact information
Practice address
544 BRAWLEY SCHOOL RD, SUITE C, MOORESVILLE, NC 28117-9392
(704) 360-9310
Mailing address
544 BRAWLEY SCHOOL RD, SUITE C, MOORESVILLE, NC 28117-9392
(704) 360-9310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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