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Organization
PETERS PATHOLOGY, LLC
Active
Organization
PETERS PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE PETERS CAREY (PRESIDENT)
(336) 883-0029
Entity
Organization
Contact information
Practice address
302 LINDSAY ST FL 2, HIGH POINT, NC 27262-4961
(336) 883-0029
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
246RH0600X
Histology Technician
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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