| NPI | 1174516108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NELSON Head Physician 228-432-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2024-10-18 |