Provider Demographics
NPI:1043835796
Name:PERRY, JOSHUA STEVEN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:STEVEN
Last Name:PERRY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:809 S LONG DR STE G
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-4375
Mailing Address - Country:US
Mailing Address - Phone:910-417-4080
Mailing Address - Fax:910-417-4085
Practice Address - Street 1:809 S LONG DR STE G
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4375
Practice Address - Country:US
Practice Address - Phone:910-417-4080
Practice Address - Fax:910-417-4085
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-09815363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant