| NPI | 1861460248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J GAINES Pres 706-389-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-02-22 |