Healthcare Provider Details
I. General information
NPI: 1922038686
Provider Name (Legal Business Name): JOEL R INMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1668 NC HIGHWAY 16 S
TAYLORSVILLE NC
28681-6285
US
IV. Provider business mailing address
PO BOX 896199
CHARLOTTE NC
28289-6199
US
V. Phone/Fax
- Phone: 828-632-9736
- Fax: 828-632-9544
- Phone: 833-936-1364
- Fax: 605-942-7505
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 9700602 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: