# SOUTHERN PATHOLOGY, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1972634715
- **Authorized official:** PAMELA M BARTHOLOMEW M.D. (PRESIDENT)
- **Authorized official phone:** (985) 892-7206

## Contact information

- **Practice address:** 67241 INDUSTRY LANE, COVINGTON, LA 70433-8705
- **Practice address phone:** (985) 892-7206
- **Practice address fax:** (985) 892-9990
- **Mailing address:** PO BOX 1750, COVINGTON, LA 70434-1750
- **Mailing address phone:** (985) 892-7206
- **Mailing address fax:** (985) 892-9990

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 05/01/2008