Provider Demographics
NPI:1326430802
Name:BATSON, JOSHUA (NP-C)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:BATSON
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 DANIELLE WAY
Mailing Address - Street 2:
Mailing Address - City:HAHIRA
Mailing Address - State:GA
Mailing Address - Zip Code:31632-1294
Mailing Address - Country:US
Mailing Address - Phone:229-269-7868
Mailing Address - Fax:
Practice Address - Street 1:3790 OLD US 41 N
Practice Address - Street 2:SUITE B
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-6864
Practice Address - Country:US
Practice Address - Phone:229-241-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN222875363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health