OrganizationActive
Iredell Physician Network, LLC
NPI 1619679750 · Pain Medicine Physician · Statesville, NC
Provider details
- NPI number
- 1619679750
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Iredell Physician Network, LLC
- Organization subpart
- Yes
- Authorized official
- Joanie Cochran, Credentialing(336) 306-9755
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
766 Hartness Rd Ste D
Statesville, NC 28677-3479
Phone: (336) 306-9755
Approximate (ZIP-level) locationGet directions
Mailing address
766 Hartness Rd Ste B
Statesville, NC 28677-3485
Other names (DBA / former)
- Doing business as
- Iredell Pain Management
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-03-21
- Certified
- 2023-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.