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Organization
GAINESVILLE REGIONAL PATHOLOGY ASSOCIATES, PC
Active
Organization
GAINESVILLE REGIONAL PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M MCCORMAC MD (AUTHORIZED OFFICIAL)
(423) 424-3867
Entity
Organization
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-1553
(844) 876-0873
Mailing address
PO BOX 3293, INDIANAPOLIS, IN 46206-3293
(317) 614-9863
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Enumeration date
07/03/2006
Last updated
01/31/2019
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