Individual
DR. JOSHUA COLE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7130 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012-8004
(336) 893-2420
(336) 893-2431
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11015589A
IN
207Q00000X
Family Medicine Physician
2013-00986
NC
207R00000X
Internal Medicine Physician
11015589A
IN
208M00000X
Hospitalist Physician
Primary
2013-00986
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801114343
—
NC
Enumeration date
05/07/2010
Last updated
10/25/2020
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