| NPI | 1831159656 |
|---|---|
| Former Legal Business Name | PEE DEE PATHOLOGY ASSOCIATES PA |
| Entity Type | Organization |
| Authorized Contact | TAREK BISHARA President 843-664-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 9084) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: SC 19419) |
| 207ZD0900X Pathology, Dermatopathology (Licence: SC 9084) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2026-07-30 |