Provider Demographics
NPI:1427033539
Name:INABINETT, CURTIS BENJAMIN II (CERTIFIED)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:BENJAMIN
Last Name:INABINETT
Suffix:II
Gender:M
Credentials:CERTIFIED
Other - Prefix:
Other - First Name:CARDIAC
Other - Middle Name:IMAGING
Other - Last Name:SOUND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ECHOCARDIOGRAPHER
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:6061 OLD JACKSONBORO ROAD
Mailing Address - City:RAVENEL
Mailing Address - State:SC
Mailing Address - Zip Code:29470-0188
Mailing Address - Country:US
Mailing Address - Phone:843-889-3949
Mailing Address - Fax:843-889-8302
Practice Address - Street 1:6061 OLD JACKSONBORO RD
Practice Address - Street 2:POB 188
Practice Address - City:RAVENEL
Practice Address - State:SC
Practice Address - Zip Code:29470-5286
Practice Address - Country:US
Practice Address - Phone:843-889-3949
Practice Address - Fax:843-889-8302
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCERTIFICATION246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSL0013Medicaid