Provider Demographics
NPI:1467751248
Name:PRICKETT, JOSHUA TODD (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:TODD
Last Name:PRICKETT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:220 CAMPUS BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2889
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:1818 AMHERST ST STE 101
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2894
Practice Address - Country:US
Practice Address - Phone:540-450-0072
Practice Address - Fax:540-450-0074
Is Sole Proprietor?:No
Enumeration Date:2011-03-20
Last Update Date:2023-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102205300207T00000X, 207T00000X
SC82283207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery