Organization
DUCKWORTH PATHOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY L BLACK (MANAGED CARE COORDINATOR)
(901) 725-7551
Entity
Organization
Contact information
Practice address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 725-9721
Mailing address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 725-9721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/06/2005
Last updated
09/06/2007
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