Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 2019-00031 | NC |
NPI | 1013350917 |
---|---|
Provider Name | Dr. Joshua Godfrey Paschall |
First Address | Hickory, NC 28603-3445 |
Second Address | Hickory, NC 28602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013350917 | (05) | NC |
1855244 | WELLCARE (01) | NC |
19WTP | BCBS (01) | NC |
5687832 | AETNA (01) | NC |
A31821 | EYEMED (01) | NC |