Provider Demographics
NPI:1093745754
Name:INMAN, AMY O (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:O
Last Name:INMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 GOBLE RD
Mailing Address - Street 2:
Mailing Address - City:HIDDENITE
Mailing Address - State:NC
Mailing Address - Zip Code:28636-5212
Mailing Address - Country:US
Mailing Address - Phone:828-632-9736
Mailing Address - Fax:828-632-9544
Practice Address - Street 1:50 LUCY ECHERD LN
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-3099
Practice Address - Country:US
Practice Address - Phone:828-632-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891054FMedicaid
NC2244550Medicare ID - Type Unspecified
NC891054FMedicaid