Organization
OUTPATIENT CYTOPATHOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D ROLLINS MD (MEDICAL DIRECTOR)
(423) 283-4734
Entity
Organization
Contact information
Practice address
2400 SUSANNAH ST, SUITE A, JOHNSON CITY, TN 37601
(423) 283-4734
(423) 283-4736
Mailing address
PO BOX 2484, JOHNSON CITY, TN 37605-2484
(423) 283-4734
(423) 283-4736
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
MD020455
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
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Other
Enumeration date
05/16/2007
Last updated
05/18/2018
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