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Organization
CARTERET PATHOLOGY ASSOCIATES PA
Active
Organization
CARTERET PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A GRIMSLEY JR. DO (OWNER)
(252) 808-6067
Entity
Organization
Contact information
Practice address
3500 ARENDELL ST, MOREHEAD, NC 28557
(252) 808-6067
Mailing address
PO BOX 20169, ROANOKE, VA 24018-0506
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205C
BCBS
NC
05
—
790205C
—
NC
01
—
DG1545
RAILROAD MEDICARE
—
Enumeration date
04/04/2006
Last updated
04/30/2020
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