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Contact Information

IREDELL MEMORIAL HOSPITAL, INCORPORATED
557 BROOKDALE DR
STATESVILLE, NC28677-4107
 Phone: 704-873-5661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for IREDELL MEMORIAL HOSPITAL INCORPORATED · (Female)

NPI Number 1699838912
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2006
Last updated 08/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 003515
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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