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Organization

HEALTHY PATH DOC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAFARRA DEMETRIC YOUNG-GAYLOR MD (MANAGER)
(601) 405-4163
Entity
Organization

Contact information

Practice address
5358 CAROLWOOD DR, JACKSON, MS 39211-4267
(601) 405-4163
Mailing address
5358 CAROLWOOD DR, JACKSON, MS 39211-4267
(601) 405-4163

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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