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Organization
GOLDSBORO PATHOLOGY SERVICES INC
Active
Organization
GOLDSBORO PATHOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. DANIELS MD (PRESIDENT)
(919) 731-6012
Entity
Organization
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 731-6012
(919) 731-6616
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239C
BCBS
NC
01
—
23961
MEDCOST
—
05
—
890239C
—
NC
01
—
C31250
RAILROAD MEDICARE
—
Enumeration date
12/20/2005
Last updated
10/12/2007
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