Healthcare Provider Details

I. General information

NPI: 1447905021
Provider Name (Legal Business Name): JOSHUA EDWARD MORIN PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2022
Last Update Date: 02/13/2022
Certification Date: 02/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 OLD LEXINGTON RD
THOMASVILLE NC
27360-3428
US

IV. Provider business mailing address

376 LITWIN DR
THOMASVILLE NC
27360-8746
US

V. Phone/Fax

Practice location:
  • Phone: 336-493-0746
  • Fax:
Mailing address:
  • Phone: 336-493-0746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP110147
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: