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Organization
ETOWAH PATHOLOGY ASSOCIATES LLC
Active
Organization
ETOWAH PATHOLOGY ASSOCIATES LLC
Active
Other names
Lovell and Clark Pathology Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN WIENER MD (PARTNER)
(770) 382-1530
Entity
Organization
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(770) 382-1530
(770) 387-8198
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 544-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
034648
GA
Other
Enumeration date
03/23/2006
Last updated
06/20/2018
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