Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Gavini Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
MS. ANNA PURCELL (DIRECTOR)
(704) 878-4569
Entity
Organization
Contact information
Practice address
365 BROOKDALE DR, STATESVILLE, NC 28677-4103
(704) 872-3630
(704) 872-0049
Mailing address
365 BROOKDALE DR, STATESVILLE, NC 28677-4103
(704) 872-3630
(704) 872-0049
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913292
—
NC
Enumeration date
06/25/2009
Last updated
05/12/2010
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