Eastside Pathology Associates PC
Pathology, Anatomic Pathology & Clinical Pathology in Snellville, GA. Organization (NPI-2).
NPI number1831997188
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1831997188
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastside Pathology Associates PC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2025
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
1700 Medical WaySnellville, GA 30078-2195
Phone 770-736-2561
Mailing address
5700 Southwyck BlvdToledo, OH 43614-1509
Phone 800-288-8325
Authorized official
Shannon O'Brien
President
8002888325
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