Organization
CYTO LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F FAIREY M.D. (PRESIDENT)
(843) 652-4522
Entity
Organization
Contact information
Practice address
4017 HIGHWAY 17, SUITE 203, MURRELLS INLET, SC 29576-5032
(843) 652-4522
(843) 652-4525
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA7091
—
SC
Enumeration date
02/03/2006
Last updated
12/18/2007
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