Organization
COMMUNITY PATHOLOGY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM CARICO MD (MANAGING MEMBER)
(912) 678-1668
Entity
Organization
Contact information
Practice address
107 N COLLEGE ST, D, STATESBORO, GA 30458-5388
(912) 678-1668
(703) 992-7215
Mailing address
PO BOX 2697, STATESBORO, GA 30459-2697
(912) 678-1668
(703) 991-7215
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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