# DUCKWORTH PATHOLOGY GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154305779
- **Authorized official:** DOROTHY L BLACK (MANAGED CARE COORDINATOR)
- **Authorized official phone:** (901) 725-7551

## Contact information

- **Practice address:** 1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
- **Practice address phone:** (901) 725-7551
- **Practice address fax:** (901) 725-9721
- **Mailing address:** 1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
- **Mailing address phone:** (901) 725-7551
- **Mailing address fax:** (901) 725-9721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 09/06/2007