Organization
WEST GEORGIA PATHOLOGY, LLC
Active
Other names
WGP
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C GRATTENDICK (VICE PRESIDENT)
(561) 626-5512
Entity
Organization
Contact information
Practice address
705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT, CARROLLTON, GA 30117-3818
(678) 305-9046
Mailing address
11025 RCA CENTER DR, SUITE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 514-5822
(561) 626-4530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
07/02/2015
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