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Organization
ATLANTIC PATHOLOGY GROUP, PA
Active
Organization
ATLANTIC PATHOLOGY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN COULTER MD (PRESIDENT)
(252) 234-2841
Entity
Organization
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 433-8043
Mailing address
PO BOX 3898, WILSON, NC 27895-3898
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017PE
BCBS OF NC
NC
05
—
5902710
—
NC
01
—
DE5506
RAILROAD MEDICARE
—
Enumeration date
03/28/2006
Last updated
05/17/2021
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