SOUTH IREDELL INTERNAL MEDICINE, PA

MOORESVILLE, NC
NPI1952402364
Entity TypeOrganization
Authorized ContactBRIAN B BLACKBURN
President
704-664-5131
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NC  29531)
Enumeration Date2006-09-26
Last Update Date2016-05-19
Business Address
SOUTH IREDELL INTERNAL MEDICINE, PA
146 MEDICAL PARK RD STE 106
MOORESVILLE, NC 28117-8529
Phone number: 704-664-5131
Mailing Address
SOUTH IREDELL INTERNAL MEDICINE, PA
146 MEDICAL PARK RD STE 106
MOORESVILLE, NC 28117-8529
Phone number: 704-664-5131
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