Organization
WILMINGTON PATHOLOGY ASSOCIATES PA
Active
Parent organization
WILMINGTON PATHOLOGY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILMINGTON PATHOLOGY ASSOCIATES PA
Authorized official
BRIAN SHIRO (DIRECTOR)
(910) 362-9511
Entity
Organization
Contact information
Practice address
1915 S 17TH ST, SUITE 100, WILMINGTON, NC 28401-6626
(910) 362-9511
(910) 362-0277
Mailing address
PO BOX 99588, RALEIGH, NC 27624-9588
(919) 420-7811
(919) 420-7815
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
06/25/2008
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