Organization · Type 2 NPI

Iredell Physician Network LLC

Family Medicine Physician · Statesville, NC

NPI number 1053360180 Active

Practice location

310 Davie Ave
Statesville, NC 28677-5319

Call (704) 873-3269 Map

Fax (704) 871-8159

Mailing address

PO Box 896199
Charlotte, NC 28289-6199

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Statesville

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NPI record

NPI: 1053360180
Entity type: Organization (Type 2)
Issued: May 8, 2006
Last updated: Oct 1, 2024
Status: Active
Subpart: Yes of Iredell Physician Network LLC

Other names

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Statesville Family Practice · doing business as
Statesville Family Practice · doing business as

Authorized official

Carla Johnson
Director of Operations
(704) 873-5661

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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 1053360180

Iredell Physician Network LLC's National Provider Identifier is 1053360180, issued on May 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Statesville, NC. The record was last updated on Oct 1, 2024.