# MERCY PATHOLOGY PRACTICE PLC

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

## Provider details

- **NPI number:** 1285858423
- **Authorized official:** DR. SESHAGIRIRAO PEMMARAJU DR (OWNER)
- **Authorized official phone:** (501) 624-4547

## Contact information

- **Practice address:** 801 CENTRAL AVE, SUITE 32, HOT SPRINGS, AR 71902
- **Practice address phone:** (501) 624-4547
- **Practice address fax:** (501) 624-5697
- **Mailing address:** PO BOX 846, 801 CENTRAL AVE SUITE 32, HOT SPRINGS, AR 71902
- **Mailing address phone:** (501) 624-4547
- **Mailing address fax:** (501) 624-5697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R2634 | AR | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R4386 | AR | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020
