Healthcare Provider Details

I. General information

NPI: 1164220059
Provider Name (Legal Business Name): MR. JOSHUA PAUL WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 FAIRGROVE CHURCH RD
HICKORY NC
28602-9617
US

IV. Provider business mailing address

609 WEDGEWOOD LN
ASHEVILLE NC
28803-1878
US

V. Phone/Fax

Practice location:
  • Phone: 828-326-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-15604
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: