Provider Demographics
NPI:1750747895
Name:CAIN, JOSEPH (PAC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:CAIN
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:125 FOX HOLLOW RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8592
Mailing Address - Country:US
Mailing Address - Phone:910-295-7546
Mailing Address - Fax:910-692-2831
Practice Address - Street 1:125 FOX HOLLOW RD
Practice Address - Street 2:SUITE 210
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8592
Practice Address - Country:US
Practice Address - Phone:910-295-7546
Practice Address - Fax:910-692-2831
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC001006129363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical