Organization · NPI-2
Hardman Pathology Adx, LLC
Pathology, Dermatopathology · Athens, GA
NPI number1669637773
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1669637773
- Entity type
- Organization (NPI-2)
- Legal business name
- Hardman Pathology Adx, LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2008
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZD0900X | Pathology, Dermatopathology | 029-027 | GA | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 029-027 | GA |
Practice location
110 Trinity PlAthens, GA 30607-2118
Phone 706-546-4884
Mailing address
110 Trinity PlAthens, GA 30607-2118
Phone 706-546-4884
Authorized official
Martin Stefanelli
Chief Operating Officer
5616265512
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