Provider Demographics
NPI:1629449137
Name:INLET REHAB MEDICINE, LLC
Entity Type:Organization
Organization Name:INLET REHAB MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-299-1451
Mailing Address - Street 1:631 BELLAMY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-6459
Mailing Address - Country:US
Mailing Address - Phone:843-299-1451
Mailing Address - Fax:843-299-1451
Practice Address - Street 1:631 BELLAMY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-6459
Practice Address - Country:US
Practice Address - Phone:843-299-1451
Practice Address - Fax:843-299-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty