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Organization
PINEVIEW PATHOLOGY
Active
Organization
PINEVIEW PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PHAM MD (CEO)
(229) 421-6659
Entity
Organization
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 421-6659
Mailing address
109 SWEETBRIAR LAKES DR, THOMASVILLE, GA 31757-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
01/02/2023
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