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Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 742-0093
(478) 741-9818
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11D0982593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0777
RR MEDICARE
GA
Enumeration date
02/07/2006
Last updated
05/02/2014
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