Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Iredell NeuroSpine - Statesville
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK LLC
Authorized official
CARLA D JOHNSON (DIRECTOR OF OPERATIONS)
(704) 873-5661
Entity
Organization
Contact information
Practice address
766 HARTNESS RD STE C, STATESVILLE, NC 28677-3485
(704) 954-8277
(704) 954-8199
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(312) 277-5144
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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