Organization
CHARLESTON PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F WORSHAM MD (PRESIDENT)
(843) 724-2068
Entity
Organization
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2068
(843) 727-3631
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
8966
SC
207ZD0900X
Dermatopathology (Pathology) Physician
8871
SC
207ZH0000X
Hematology (Pathology) Physician
11226
SC
207ZP0101X
Anatomic Pathology Physician
27801
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8966
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA5146
—
SC
Enumeration date
03/02/2006
Last updated
02/21/2008
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