Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 742-0093
(478) 741-9818
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11D0982593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0777
RR MEDICARE
GA
Enumeration date
02/07/2006
Last updated
05/02/2014
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