Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Other names
IREDELL PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIE M COCHRAN (CREDENTIALING)
(336) 306-9755
Entity
Organization
Contact information
Practice address
728 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 380-6420
(704) 380-6421
Mailing address
728 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 380-6420
(704) 380-6421
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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