Organization
PATHOLOGY ASSOCIATES OF KINSTON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEL HADDAD MD (PRESIDENT)
(252) 522-7141
Entity
Organization
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7141
Mailing address
PO BOX 1295, BLUEFIELD, WV 24701-1295
(304) 323-4320
(304) 323-4333
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0269M
BCBS OF NC
NC
05
—
890269M
—
NC
01
—
CC2915
RAILROAD MEDICARE
—
Enumeration date
09/07/2005
Last updated
03/17/2018
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