NPI 1386428852

Iredell Physician Network, LLC

Organisation Urology Physician Statesville, NC

Practice location

Address: 542 Brookdale Dr, Statesville, NC 28677-4108
Phone: (704) 380-6940
Fax: (704) 380-6941
Mailing address: PO Box 896199, Charlotte, NC 28289-6199

Authorised official

Name: Joanie M Cochran
Title: Credentialing
Phone: (336) 306-9755

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in North Carolina →

Registry record

NPI: 1386428852
Entity type: Organization
NPI issued: 24 Aug 2023
Record last updated: 24 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.