Organization
PRIMA PATHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D PIERCE M.D. (PRESIDENT)
(954) 633-1010
Entity
Organization
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5171
(803) 641-5486
Mailing address
3200 HUNTER RD, WESTON, FL 33331-3048
(954) 384-6075
(954) 984-8416
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG9726
RAILRAOD MEDICARE
SC
05
—
GP4830
—
SC
Enumeration date
10/29/2007
Last updated
08/14/2014
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