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Organization
PCA OF COLUMBIA, INC.
Active
Organization
PCA OF COLUMBIA, INC.
Active
Other names
PCA of Columbia Inc dba PCA Southeast, Opus Pathology, PCA Southeast
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE GIBSON MD (MEDICAL DIRECTOR)
(931) 490-1000
Entity
Organization
Contact information
Practice address
1602 HATCHER LANE, COLUMBIA, TN 38401
(931) 490-1000
(931) 388-1548
Mailing address
1602 HATCHER LN, COLUMBIA, TN 38401-4827
(931) 490-1000
(931) 388-1548
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2030
TN
207ZD0900X
Dermatopathology (Pathology) Physician
2030
TN
207ZI0100X
Immunopathology Physician
2030
TN
207ZP0101X
Anatomic Pathology Physician
2030
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2030
TN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
200241
KY
Other
Enumeration date
06/20/2006
Last updated
09/24/2026
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