# WATAUGA PATHOLOGY ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720053945
- **Authorized official:** DR. DAVID RICHARD SOIKE MD (PRESIDENT)
- **Authorized official phone:** (423) 431-6388

## Contact information

- **Practice address:** 400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
- **Practice address phone:** (423) 431-6388
- **Practice address fax:** (423) 431-6331
- **Mailing address:** PO BOX 52990, GREENWOOD, SC 29649-0048
- **Mailing address phone:** (864) 223-3600
- **Mailing address fax:** (864) 223-6054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | MD0000020115 | TN | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | MD0000015437 | TN | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 02/18/2008
