Provider Demographics
NPI:1154894111
Name:SALE, JOSHUA JOSEPH
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JOSEPH
Last Name:SALE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 POPLAR ST STE 25
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2741
Mailing Address - Country:US
Mailing Address - Phone:478-972-9925
Mailing Address - Fax:
Practice Address - Street 1:555 POPLAR ST STE 25
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2741
Practice Address - Country:US
Practice Address - Phone:478-972-9925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies