| Doctor Name: | MR. JOSHUA ROBERT PACUT |
| NPI Number: | 1023049681 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 004793 |
| Business Practice Address: | 462 Eg Miles Pkwy Hinesville, GA - 313134000 |
| Business Phone Number: | 9123699400 |
| Business Fax Number: | |
| Mailing Address: | 178 Crosswinds Dr, RICHMOND HILL |
| State: | GA |
| Postal Code: | 313245398 |
| Phone Number: | 9127562838 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 004793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |