Organization
PRESBYTERIAN PATHOLOGY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK A WILSON MD (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
200 HAWTHORNE LANE, CHARLOTTE, NC 28204
(704) 384-4814
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02208
BCBS
NC
05
—
8902208
—
NC
Enumeration date
03/30/2006
Last updated
09/29/2023
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