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IREDELL PHYSICIAN NETWORK LLC NPI 1528633732


NPI Information

NPI: 1528633732
Provider Name: IREDELL PHYSICIAN NETWORK, LLC

Doing Business As: IREDELL CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 34D2227228

Address:
925 THOMAS ST
STATESVILLE, NC
ZIP 28677
Phone: (704) 883-3378
Get Directions

IREDELL PHYSICIAN NETWORK, LLC is a cardiovascular disease internal medicine in Statesville, NC. The provider is 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. IREDELL PHYSICIAN NETWORK, LLC NPI is 1528633732. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Iredell Cardiology.

The provider's business location address is:

925 THOMAS ST
STATESVILLE, NC
ZIP 28677-484
Phone: (704) 883-3378
Fax: (704) 883-3228

The provider's authorized official is Carla D Johnson .
The authorized official title is Director Of Operations and has the following contact phone number (704) 883-3228.

The CLIA number assigned to this NPI record is 34D2227228 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2021 and was last updated on 7/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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