South Iredell Internal Medicine, Pa

LBN: South Iredell Internal Medicine, Pa
South Iredell Internal Medicine, Pa is an health care organization with primary practice located at 146 Medical Park Rd Ste 106 , Mooresville NC 28117-8529. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Iredell Internal Medicine, Pa can be contacted via phone (704) 664-5131, or through Blackburn, Brian B via phone (704) 664-5131.

Contact Information

Primary practice address
146 Medical Park Rd Ste 106 Mooresville NC 28117-8529
Phone: (704) 664-5131
Fax: (704) 664-7547
Website:
Map and Directions
Authorized official contact:
Name: Blackburn, Brian B Doctor of Medicine (MD)
Phone: (704) 664-5131

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 29531 North Carolina

Profile Details

NPI number 1952402364
LBN Legal business name South Iredell Internal Medicine, Pa
DBA Doing business as
Authorized official Blackburn, Brian B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated May 19th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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