Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Family Care Center - Mooresville
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
CARLA D JOHNSON (DIRECTOR OF OPERATIONS)
(704) 873-5661
Entity
Organization
Contact information
Practice address
653 BLUEFIELD ROAD, SUITE F, MOORESVILLE, NC 28117
(704) 883-3378
(704) 883-3228
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
Enumeration date
04/27/2021
Last updated
06/04/2021
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