South Iredell Internal Medicine, PA
South Iredell Internal Medicine, PA provides Specialist services in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
146 Medical Park Rd Ste 106Mooresville, NC 28117-8529 Not confirmed with CMS for 10 years — call before visiting
Phone: (704) 664-5131
Fax: (704) 664-7547
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 29531 (NC) |
|---|
Record details
| NPI number | 1952402364 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Blackburn — President · (704) 664-5131 |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | May 19, 2016 |
| Mailing address | 146 Medical Park Rd Ste 106, Mooresville, NC 28117-8529 |
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Mrs. Gwen Mary Van Ryen-Sink, PT/ATC
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