| NPI | 1497072920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPTI ANAND Md 706-737-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-12-16 |