Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK, LLC
Other names
Stout Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK, LLC
Authorized official
JOANIE M COCHRAN (CREDENTIALING)
(336) 306-9755
Entity
Organization
Contact information
Practice address
653 BLUEFIELD RD STE I, MOORESVILLE, NC 28117-9599
(704) 360-9310
(704) 360-9326
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(844) 652-0611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/29/2023
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