Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Other names
Iredell Urology
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIE M COCHRAN (CREDENTIALING)
(336) 306-9755
Entity
Organization
Contact information
Practice address
542 BROOKDALE DR, STATESVILLE, NC 28677-4108
(704) 380-6940
(704) 380-6941
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(844) 652-0611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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