Organization
IREDELL PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA D JOHNSON (DIRECTOR OF OPERATIONS)
(980) 434-3803
Entity
Organization
Contact information
Practice address
766 HARTNESS RD, STATESVILLE, NC 28677-3479
(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
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
10/07/2021
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