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Organization
CONSULTANTS IN PATHOLOGY, INC.
Active
Organization
CONSULTANTS IN PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL LEWIS RANDALL M.D. (MEDICAL DIRECTOR)
(336) 838-9550
Entity
Organization
Contact information
Practice address
100 N BRIDGE ST STE A, WILKESBORO, NC 28697-2488
(336) 838-9550
Mailing address
PO BOX 1239, WILKESBORO, NC 28697-1239
(336) 838-9550
(336) 838-9536
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
36016
NC
207ZP0101X
Anatomic Pathology Physician
36016
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01953
BCBS
NC
05
—
8901953
—
NC
Enumeration date
11/01/2005
Last updated
07/23/2010
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