Individual
MARK G INMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304
(304) 388-5550
(304) 388-4352
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
18735
WV
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
33175
WI
Other
Enumeration date
10/26/2005
Last updated
04/04/2011
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