Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH CORBIN PRESTIDGE, PA-C
Active Sole ProprietorJOSEPH CORBIN PRESTIDGE, PA-C is a Physician Assistant healthcare provider located in PRAIRIEVILLE, Louisiana. NPI 1194163121 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PRAIRIEVILLE, LA
Registration Details
- NPI Number
- 1194163121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2013 (13.189516534145 yrs)
- Last Updated
- Jul 1, 2013
- License
-
PA.200633 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18540 WHITE OAK DRPRAIRIEVILLE, LA, 707693737Browse LA providers · Browse ZIP 70769
- Phone
- 2258028030
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PRAIRIEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. LAUREN ELIZABETH DOUGHERTY | PA-C | 1033930656 |
| MRS. AMANDA G COMEAUX | PA-C | 1255148912 |
| ALIVIA SIMMONS | — | 1265394274 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.