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Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1568542991

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
200 CEDAR DRIVE  COOSADA, AL 36020-0159 US
Tel: 334-285-3888  Fax: 334-285-3999

Contact information for business:
Tel: 334-285-3888  Fax: 334-285-3999

Registration Information:
NPI: 1568542991
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0102XAllopathic & Osteopathic Physicians
Anatomic Pathology & Clinical Pathology

Legacy codes, insurance codes and state license numbers:



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