Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Other names
IPN Family Care Center of Statesville
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA D JOHNSON (DIRECTOR OF OPERATIONS)
(980) 434-3803
Entity
Organization
Contact information
Practice address
1410 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 978-2250
(704) 978-2250
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
11/12/2024
Last updated
11/12/2024
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