Organization
PATHOLOGY INSTITUTE OF MIDDLE GEORGIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES Q. WHITAKER M.D. (PRESIDENT)
(478) 929-2939
Entity
Organization
Contact information
Practice address
1606 WATSON BLVD, WARNER ROBINS, GA 31093-3430
(478) 929-2939
(478) 929-4167
Mailing address
1606 WATSON BLVD, WARNER ROBINS, GA 31093-3430
(478) 929-2939
(478) 929-4167
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
076-008
GA
Other
Enumeration date
12/12/2007
Last updated
04/20/2008
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