| NPI | 1316106149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FREDERICK WORSHAM President 843-724-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |