| NPI | 1295007185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K HOLLAND Dermatopathologist/Laboratory Direc 706-799-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 64562) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |