Organization · Type 2 NPI

Iredell Physician Network, LLC

Cardiovascular Disease Physician · Statesville, NC

NPI number 1528633732 Active

Practice location

925 Thomas St
Statesville, NC 28677-3484

Call (704) 883-3378 Map

Fax (704) 883-3228

Mailing address

PO Box 896199
Charlotte, NC 28289-6199

Other practice locations

653 Bluefield Road, Ste F, Mooresville, NC 28117 · (704) 883-3378

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5 other providers at this address

Other cardiovascular disease physician providers in Statesville

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NPI record

NPI: 1528633732
Entity type: Organization (Type 2)
Issued: May 21, 2021
Last updated: Jul 21, 2021
Status: Active

Other names

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Iredell Cardiology · doing business as
Iredell Cardiology · doing business as

Authorized official

Carla D Johnson
Director of Operations
(704) 883-3228

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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 1528633732

Iredell Physician Network, LLC's National Provider Identifier is 1528633732, issued on May 21, 2021. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Statesville, NC. The record was last updated on Jul 21, 2021.