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Organization

TRI COUNTY PATHOLOGY ASSOCIATES LAB

Active
Parent organization
TRI COUNTY PATHOLOGY ASSOCIATES PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI COUNTY PATHOLOGY ASSOCIATES PC
Authorized official
HANY BISHARA MD (PRESIDENT)
(770) 424-7800
Entity
Organization

Contact information

Practice address
833 CAMPBELL HILL ST NW, SUITE 111, MARIETTA, GA 30060-1134
(770) 424-7800
Mailing address
PO BOX 60280, CHARLESTON, SC 29419-0280
(770) 424-7800

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00061652A
GA
Enumeration date
01/09/2009
Last updated
07/29/2009
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