| NPI | 1881899458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD WENDALL WILSON President 478-454-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 030927) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-12-27 |