Organization
PALMETTO PATHOLOGY OF LANCASTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DUREN JOHNSON JR. MD (PRESIDENT)
(803) 286-1586
Entity
Organization
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 60070, NORTH CHARLESTON, SC 29419-0070
(843) 569-8415
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2966
MEDICARE GROUP NUMBER
SC
Enumeration date
03/26/2006
Last updated
08/22/2020
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