NPI | 1720053309 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DAVID WRENN President 864-560-6217 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 10037) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: SC 21725) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2008-04-20 |