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Individual

JOSHUA WEDDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2630 GRANT LINE RD, NEW ALBANY, IN 47150-4053
(502) 888-1988
(812) 944-3594
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004392A
IN
363A00000X
Physician Assistant
Primary
10004408A
IN
363A00000X
Physician Assistant
PA3426
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300091248
IN
05
7100983160
KY
Enumeration date
02/15/2024
Last updated
02/16/2026
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