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Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 INTERNATIONAL DR STE 200, RYE BROOK, NY 10573-7501
(800) 955-4572
Mailing address
2451 CUMBERLAND PKWY SE STE 250, ATLANTA, GA 30339-6136
(404) 775-7155

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
056889
GA

Other

Enumeration date
01/10/2008
Last updated
07/18/2022
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