IREDELL PHYSICIAN NETWORK LLC NPI 1770729238

NPI Information

  • NPI: 1770729238
  • Provider Name: IREDELL PHYSICIAN NETWORK LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 557 BROOKDALE DR
    STATESVILLE, NC
    ZIP 28677
  • Phone: (704) 878-4500

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NPI Details

IREDELL PHYSICIAN NETWORK LLC is a specialist in Statesville, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IREDELL PHYSICIAN NETWORK LLC NPI is 1770729238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

557 BROOKDALE DR
STATESVILLE, NC
ZIP 28677-107
Phone: (704) 878-4500

The provider's authorized official is Kevin Deter .
The authorized official title is Vice President and has the following contact phone number (704) 878-4500.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 1/5/2009.

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
1174400000XSpecialistYes

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: 3/30/2025

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