Organization
CHARLESTON PATHOLOGY, P.A.
Active
Other names
Coastal Pathology Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M BRANAND (PRACTICE MANAGER)
(843) 442-8365
Entity
Organization
Contact information
Practice address
125 DOUGHTY STREET, STE 480, CHARLESTON, SC 29403
(843) 769-6345
(843) 769-7614
Mailing address
125 DOUGHTY STREET, STE 480, CHARLESTON, SC 29403
(843) 769-6345
(843) 769-7614
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
8966
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
8966
SC
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L00103
—
SC
Enumeration date
06/05/2006
Last updated
07/24/2018
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