Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Iredell Orthopaedic
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
KATHRYN HELES (CREDENTIALING)
(866) 340-0396
Entity
Organization
Contact information
Practice address
774 HARTNESS RD, STATESVILLE, NC 28677-3376
(704) 768-3030
(704) 768-3025
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006 01184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950130
—
NC
Enumeration date
05/30/2008
Last updated
04/05/2021
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