Organization
MIDSOUTH PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN H WHATLEY (MANAGER)
(601) 445-9585
Entity
Organization
Contact information
Practice address
105 LOWER WOODVILLE RD, NATCHEZ, MS 39120
(601) 445-9585
(601) 445-4185
Mailing address
105 LOWER WOODVILLE RD, NATCHEZ, MS 39120
(601) 445-9585
(601) 445-4185
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014228
—
MS
Enumeration date
10/03/2006
Last updated
07/21/2008
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