| Iredell Endocrinology | |
|
143 Joe Knox Ave Suite 100 Mooresville NC 28117-9243 | |
| (704) 878-4500 | |
| (704) 872-7924 |
| Full Name | Iredell Endocrinology |
|---|---|
| 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 Endocrinology Po Box 25867 Winston Salem NC 27114-5867 Ph: (704) 878-4500 | Iredell Endocrinology 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 |
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