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1952402364
SOUTH IREDELL INTERNAL MEDICINE, PA
MOORESVILLE, NC
NPI
1952402364
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Entity Type
Organization
Authorized Contact
BRIAN B BLACKBURN
President
704-664-5131
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 29531)
Enumeration Date
2006-09-26
Last Update Date
2016-05-19
Business 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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Mailing Address
SOUTH IREDELL INTERNAL MEDICINE, PA
146 MEDICAL PARK RD STE 106
MOORESVILLE, NC 28117-8529
Phone number: 704-664-5131
Copy
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