Provider Demographics
NPI:1841500659
Name:HOWARD, JOSHUA W (PA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:W
Last Name:HOWARD
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1265 HIGHWAY 54 W
Mailing Address - Street 2:STE 102
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4537
Mailing Address - Country:US
Mailing Address - Phone:816-303-2400
Mailing Address - Fax:816-303-2484
Practice Address - Street 1:3400 OLD MILTON PKWY STE C290
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-6491
Practice Address - Country:US
Practice Address - Phone:770-667-4343
Practice Address - Fax:770-772-0937
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2020-04-02
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Provider Licenses
StateLicense IDTaxonomies
KS15-01977363A00000X
KS1095607363A00000X
MO2017029767363A00000X
GA9534363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant