Organization
PATHOLOGY ASSOCIATES OF CENTRAL MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL S SMITH MD (AUTHORIZED SIGNER)
(601) 200-3840
Entity
Organization
Contact information
Practice address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Mailing address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-3840
(601) 200-8801
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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