Pacious, Joshua

Pacious, Joshua is an sole proprietor health care provider with primary practice located at 200 Patewood Dr Ste C100 , Greenville SC 29615-6322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Pacious, Joshua can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Ste C100 Greenville SC 29615-6322
Phone: (864) 454-7422
Fax: (864) 454-8265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018-00506 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 82959 South Carolina

Profile Details

NPI number 1902268113
LBN Legal business name Pacious, Joshua
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2016
Last updated Apr 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902268113 NPPES
South Carolina MEDICAID 829599

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