Organization
PCA OF COLUMBIA, INC.
Active
Other names
PCA Southeast
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE T ANDREWS (EXECUTIVE DIRECTOR)
(931) 388-0777
Entity
Organization
Contact information
Practice address
1602 HATCHER LANE, COLUMBIA, TN 38401
(931) 490-1000
(931) 388-1548
Mailing address
1602 HATCHER LANE, COLUMBIA, TN 38401
(931) 388-0777
(931) 388-1548
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
2030
TN
207ZD0900X
Dermatopathology (Pathology) Physician
2030
TN
207ZI0100X
Immunopathology Physician
2030
TN
207ZP0101X
Anatomic Pathology Physician
2030
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2030
TN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
200241
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119533
—
MS
05
—
00789049A
—
GA
05
—
009801160
—
AL
05
—
1540854
—
LA
05
—
200412900A
—
IN
05
—
3403473
—
TN
05
—
3790378800
—
KY
Enumeration date
06/20/2006
Last updated
03/13/2012
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