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Organization
SOUTHERN PATHOLOGY, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SOUTHERN PATHOLOGY, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M BARTHOLOMEW M.D. (PRESIDENT)
(985) 892-7206
Entity
Organization
Contact information
Practice address
67241 INDUSTRY LANE, COVINGTON, LA 70433-8705
(985) 892-7206
(985) 892-9990
Mailing address
PO BOX 1750, COVINGTON, LA 70434-1750
(985) 892-7206
(985) 892-9990
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
05/01/2008
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