Organization · Type 2 NPI

Iredell Physician Network LLC

Family Medicine Physician · Mooresville, NC

NPI number 1861147779 Active

Practice location

114 Gateway Blvd Ste B
Mooresville, NC 28117-5598

Call (980) 435-0406 Map

Fax (980) 435-0409

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.

2 other providers at this address

Other family medicine physician providers in Mooresville

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NPI record

NPI: 1861147779
Entity type: Organization (Type 2)
Issued: Feb 18, 2022
Last updated: Mar 10, 2022
Status: Active
Subpart: Yes of Iredell Physician Network LLC

Other names

<unavail>
Iredell Primary Care · doing business as

Authorized official

Carla D 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 1861147779

Iredell Physician Network LLC's National Provider Identifier is 1861147779, issued on Feb 18, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mooresville, NC. The record was last updated on Mar 10, 2022.