Pathology Associates Of Valdosta, P.C.

LBN: Pathology Associates Of Valdosta, P.C.
Pathology Associates Of Valdosta, P.C. is an health care organization with primary practice located at 2001 N Patterson St , Valdosta GA 31602-2944. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pathology Associates Of Valdosta, P.C. can be contacted via phone (229) 245-0447, or through Hanson, John William via phone (229) 245-0447.

Contact Information

Primary practice address
2001 N Patterson St Valdosta GA 31602-2944
Phone: (229) 245-0447
Fax: (229) 245-0448
Website:
Map and Directions
Authorized official contact:
Name: Hanson, John William Doctor of Medicine (MD)
Phone: (229) 245-0447

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J307285 Georgia

Profile Details

NPI number 1629023098
LBN Legal business name Pathology Associates Of Valdosta, P.C.
DBA Doing business as
Authorized official Hanson, John William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Nov 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629023098 NPPES
Georgia Other N357819 MEDICAID WELLCARE
Georgia Other CF4854 MEDICAID WELLCARE

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