Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Iredell Internal Medicine, PA

Organization Specialist · NPI 1952402364

South Iredell Internal Medicine, PA is a Specialist 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.

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Practice location Address checks out

146 Medical Park Rd Ste 106
Mooresville, NC 28117-8529
Phone: (704) 664-5131
Fax: (704) 664-7547
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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 number1952402364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Blackburn — President · (704) 664-5131
NPI enumeratedSeptember 26, 2006
Last updated in NPPESMay 19, 2016
Mailing address146 Medical Park Rd Ste 106, Mooresville, NC 28117-8529

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