Organization
CAROLINA PATHOLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL LYNN MCLEOD MD FACP FACPE (PARTNER)
(864) 725-4822
Entity
Organization
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4822
(864) 725-4679
Mailing address
PO BOX 602399, CHARLOTTE, NC 28260-2399
(804) 350-2889
(804) 545-0652
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
736121
CHAMPUS
—
01
—
CD1791
RR MEDICARE
—
05
—
PA5798
—
SC
Enumeration date
12/27/2005
Last updated
01/04/2012
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