# GREENEVILLE PATHOLOGY ASSOCIATES, P C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912100918
- **Authorized official:** WILLIAM CARL THACKER M D (PRESIDENT)
- **Authorized official phone:** (423) 639-5781

## Contact information

- **Practice address:** 209 N COLLEGE ST, GREENEVILLE, TN 37745-5092
- **Practice address phone:** (423) 639-5781
- **Practice address fax:** (423) 639-2218
- **Mailing address:** 209 N COLLEGE ST, GREENEVILLE, TN 37745-5092
- **Mailing address phone:** (423) 639-5781
- **Mailing address fax:** (423) 639-2218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | MD00004219 | TN | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 08/22/2020