Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Tondo Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
KATHRYN HELES (CREDENTIALING)
(866) 340-0396
Entity
Organization
Contact information
Practice address
510 N MAIN ST, TROUTMAN, NC 28166-9529
(704) 528-3721
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-9529
(833) 936-1364
(605) 936-1364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
04/05/2021
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