Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Other names
Iredell Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA D JOHNSON (DIRECTOR OF OPERATIONS)
(704) 883-3228
Entity
Organization
Contact information
Practice address
925 THOMAS ST, STATESVILLE, NC 28677-3484
(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
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
07/21/2021
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