CAROLYN KINZER-BEZANSON WALL

BRUNSWICK, GA
NPI1124002712
Other NameCAROLYN A KINZER-BEZANSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA  038275)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL  ME85489)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: SC  MD29387)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AL  MD317652)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: LA  MD.12093R/Inactive)
Enumeration Date2005-12-06
Last Update Date2014-12-05
Business Address
-- CAROLYN KINZER-BEZANSON WALL M.D.
203 INDIGO DRIVE SOUTHEASTERN PATHOLOGY ASSOCIATES, PC
BRUNSWICK, GA 31525
Phone number: 912-279-1900
Mailing Address
-- CAROLYN KINZER-BEZANSON WALL M.D.
PO BOX 30309
CHARLESTON, SC 29417
Phone number: 843-554-9300