Organization · Type 2 NPI

Iredell Physician Network LLC

Internal Medicine Physician · Statesville, NC

NPI number 1154609147 Active

Practice location

1714 Davie Ave
Statesville, NC 28677-3522

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician Primary	207R00000X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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NPI record

NPI: 1154609147
Entity type: Organization (Type 2)
Issued: Jul 26, 2011
Last updated: Jul 26, 2011
Status: Active
Subpart: Yes of Iredell Physician Network LLC

Other names

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Iredell Wound Care Physicians · doing business as

Authorized official

Anna Purcell
Dir Managed Care
(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 1154609147

Iredell Physician Network LLC's National Provider Identifier is 1154609147, issued on Jul 26, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Statesville, NC. The record was last updated on Jul 26, 2011.