| NPI | 1497791420 |
|---|---|
| Doing Business As | PCA SOUTHEAST |
| Entity Type | Organization |
| Authorized Contact | JULIE T ANDREWS Executive Director 931-388-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: TN 2030) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: TN 2030) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 2030) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 2030) | |
| 207ZI0100X Pathology, Immunopathology (Licence: TN 2030) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: KY 200241) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-03-13 |