Organization
CLINICAL PATHOLOGY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M WILSON M.D. (PRESIDENT)
(843) 347-7144
Entity
Organization
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7144
(843) 347-7331
Mailing address
PO BOX 1599, CONWAY, SC 29528-1599
(843) 347-7144
(843) 347-7331
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC5972
—
SC
Enumeration date
05/15/2006
Last updated
10/09/2020
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