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Organization
PALMETTO PATHOLOGY PA
Active
Organization
PALMETTO PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER C LOGAN III MD (PRESIDENT PALMETTO PATHOLOGY PA)
(843) 716-7000
Entity
Organization
Contact information
Practice address
3655 MITCHELL ST, DEPARTMENT OF PATHOLOGY, LORIS, SC 29569-2827
(843) 716-7000
(843) 716-7272
Mailing address
PO BOX 60070, CHARLESTON, SC 29419-0070
(843) 716-7000
(843) 716-7272
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZF0201X
Forensic Pathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZM0300X
Medical Microbiology Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790285N
—
NC
05
—
GP2307
—
SC
Enumeration date
01/23/2006
Last updated
08/14/2008
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