| NPI | 1699893412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C MULLINS President 706-434-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-01-12 |