Organization · Type 2 NPI

Iredell Physician Network LLC

Specialist · Statesville, NC

NPI number 1013941145 Active

Practice location

557 Brookdale Dr
Statesville, NC 28677-4107

Call (704) 873-5661 Map

Mailing address

P.o. Box 60397
Charlotte, NC 28260-0397

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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NPI record

NPI: 1013941145
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: May 12, 2010
Status: Active
Subpart: Yes of Iredell Physician Network LLC

Other names

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Hospital Specialist of Iredell · doing business as

Authorized official

Mrs. Anna Purcell
Director
(704) 878-4569

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013941145

Iredell Physician Network LLC's National Provider Identifier is 1013941145, issued on Jul 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Statesville, NC. The record was last updated on May 12, 2010.