Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Iredell Wound Care Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
ANNA PURCELL (DIR MANAGED CARE)
(704) 878-4569
Entity
Organization
Contact information
Practice address
1714 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 768-0546
Mailing address
1714 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 768-0546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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