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Organization
PEE DEE PATHOLOGY ASSOCIATES INC.
Active
Organization
PEE DEE PATHOLOGY ASSOCIATES INC.
Active
Other names
Pee Dee Pathology Associates PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK BISHARA MD (PRESIDENT)
(843) 664-4314
Entity
Organization
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 664-4314
(843) 664-4340
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
19419
SC
207ZD0900X
Dermatopathology (Pathology) Physician
9084
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA-5654
—
SC
Enumeration date
03/24/2006
Last updated
07/30/2026
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