MEDICARE: DR. JILLIAN IRWIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2020-03110	NC

General Provider Information

NPI Number	:	1942733027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILLIAN IRWIN MD

Provider Business Mailing Address
First Line	:	35 SENTRY LN
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-3013
Country	:	US
Telephone Number	:	412-401-8118
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 MEDICAL PARK LN STE H
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-6921
Country	:	US
Telephone Number	:	828-837-3525
Fax Number	:	828-837-6923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	07/15/2022

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