Gwinnett Pathology Assoc PC
Pathology, Anatomic Pathology & Clinical Pathology in Lawrenceville, GA. Organization (NPI-2).
NPI number1104887330
StatusActive
Last updated in NPPESJun 8, 2017
Details
- NPI
- 1104887330
- Entity type
- Organization (NPI-2)
- Legal business name
- Gwinnett Pathology Assoc PC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2006
- Last updated
- Jun 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
1000 Medical Center BlvdPathology Dept
Lawrenceville, GA 30046-7694
Phone 678-312-4524 · Fax 770-682-2219
Mailing address
Po Box 1686Indianapolis, IN 46206-1686
Phone 706-232-0156
Authorized official
Ricardo J Delgado
President
6783124524
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