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Organization
PALMETTO PATHOLOGY OF LANCASTER P.A.
Active
Organization
PALMETTO PATHOLOGY OF LANCASTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DUREN JOHNSON JR. MD (PRESIDENT)
(803) 286-1586
Entity
Organization
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 60070, NORTH CHARLESTON, SC 29419-0070
(843) 569-8415
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2966
MEDICARE GROUP NUMBER
SC
Enumeration date
03/26/2006
Last updated
08/22/2020
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