Provider Demographics
NPI:1184519274
Name:KING, JOSHUA JAMES (PA-S)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JAMES
Last Name:KING
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1982 TWICKENHAM PL
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6242
Mailing Address - Country:US
Mailing Address - Phone:910-800-0566
Mailing Address - Fax:
Practice Address - Street 1:1982 TWICKENHAM PL
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6242
Practice Address - Country:US
Practice Address - Phone:910-800-0566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant