Individual
JOSHUA IMWALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2106
Mailing address
2619 PRELUDE PATH, DAYTON, OH 45449-3356
(937) 361-8864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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