Organization
ETOWAH PATHOLOGY ASSOCIATES LLC
Active
Other names
Lovell and Clark Pathology Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN WIENER MD (PARTNER)
(770) 382-1530
Entity
Organization
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(770) 382-1530
(770) 387-8198
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 544-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
034648
GA
Other
Enumeration date
03/23/2006
Last updated
06/20/2018
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