Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Other names
Iredell Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIE COCHRAN (CREDENTIALING)
(336) 306-9755
Entity
Organization
Contact information
Practice address
544 BRAWLEY SCHOOL RD STE A, MOORESVILLE, NC 28117-9393
(704) 360-5190
(704) 360-5180
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
08/23/2012
Last updated
02/12/2024
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