Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Parent organization
IREDELL PHYSICIAN NETWORK, LLC
Other names
Iredell Pain Management
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
653 BLUEFIELD RD STE H, MOORESVILLE, NC 28117-9599
(336) 306-9755
Mailing address
653 BLUEFIELD RD STE H, MOORESVILLE, NC 28117-9599
(336) 306-9755
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
07/20/2023
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