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Organization
PIEDMONT PATHOLOGY ASSOCIATES INC
Active
Organization
PIEDMONT PATHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S MATHIS (BUSINESS ADMINISTRATOR)
(828) 322-3821
Entity
Organization
Contact information
Practice address
1899 TATE BLVD SE, STE 1105, HICKORY, NC 28602-4200
(828) 322-3821
(828) 322-6697
Mailing address
1899 TATE BLVD SE, STE 1105, HICKORY, NC 28602-4200
(828) 322-3821
(828) 322-6697
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
21248
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02415
BCBS
NC
05
—
8902415
—
NC
Enumeration date
06/24/2005
Last updated
08/18/2021
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