Eastside Pathology PC
Pathology, Anatomic Pathology & Clinical Pathology in Snellville, GA. Organization (NPI-2).
NPI number1831290915
StatusActive
Last updated in NPPESSep 29, 2009
Details
- NPI
- 1831290915
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastside Pathology PC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Sep 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
1700 Medical WayPathology Dept
Snellville, GA 30078
Phone 770-979-0200
Mailing address
Po Box 1457Bluefield, WV 24701-1457
Authorized official
Edwin W Nunnery
President
7709790200
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