| NPI | 1114994787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE F WORSHAM President 843-724-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 8966) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: SC 8966) |
| 207ZD0900X Pathology, Dermatopathology (Licence: SC 8871) | |
| 207ZH0000X Pathology, Hematology (Licence: SC 11226) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: SC 27801) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-02-21 |