Provider Demographics
NPI:1518968957
Name:MUELLER, JOSEPH COLE (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:COLE
Last Name:MUELLER
Suffix:
Gender:M
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:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-4868
Mailing Address - Fax:704-384-8684
Practice Address - Street 1:200 GREENWICH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2316
Practice Address - Country:US
Practice Address - Phone:704-384-8680
Practice Address - Fax:704-384-8684
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200501203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901635Medicaid
NC2045340Medicare ID - Type Unspecified
NC5901635Medicaid