| Iredell Physician Network Llc | |
| 
					143 Joe Knox Ave Suite 100 Mooresville NC 28117-9243  | |
| (704) 878-4500 | |
| (704) 872-7924 | 
| Full Name | Iredell Physician Network Llc | 
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism | 
| Location | 143 Joe Knox Ave, Mooresville, North Carolina | 
| Authorized Official Name and Position | Anna Purcell (DIRECTOR) | 
| Authorized Official Contact | 7048784569 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Iredell Physician Network Llc Po Box 25867 Winston Salem NC 27114-5867 Ph: (704) 878-4500  | Iredell Physician Network Llc 143 Joe Knox Ave Suite 100 Mooresville NC 28117-9243 Ph: (704) 878-4500  | 
| NPI Number | 1003081175 | 
|---|---|
| Provider Enumeration Date | 04/29/2008 | 
| Last Update Date | 05/12/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003081175 | NPI | - | NPPES | 
| 5950095 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 9400602 (North Carolina) | Primary | 
Harbor Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 478 Williamson Rd, Suite B, Mooresville, NC 28117 Phone: 704-660-0321 Fax: 704-660-0765  | |
Wellcomemd Nc Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Kilson Dr Ste 201, Mooresville, NC 28117 Phone: 704-444-0999 Fax: 980-498-7007  | |
Greenbrook Tms Mooresville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Plantation Ridge Dr Ste 150, Mooresville, NC 28117 Phone: 855-910-4867 Fax: 855-920-4867  | |
Premise Health Of North Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lowes Blvd, Mooresville, NC 28117 Phone: 704-758-2000 Fax: 704-757-0510  | |
Iredell Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Brawley School Rd, Suite C, Mooresville, NC 28117 Phone: 704-360-9310  | |
Lake Norman Endocrinology & Diabetes, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117 Phone: 704-664-2936  |