Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK, LLC
Other names
Iredell Orthopaedic Center/Iredell NeuroSpine
Organization subpart
Yes
Provider details
NPI number
Legal business name
IREDELL PHYSICIAN NETWORK, LLC
Authorized official
JOANIE M COCHRAN (CREDENTIALING AGENT)
(336) 306-9755
Entity
Organization
Contact information
Practice address
544 BRAWLEY SCHOOL RD STE C, MOORESVILLE, NC 28117-9393
(704) 658-0956
(704) 658-0959
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
03/20/2015
Last updated
12/13/2023
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