Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK LLC
Other names
Iredell Vascular Clinic
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
770 HARTNESS RD, STATESVILLE, NC 28677-3376
(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
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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