Organization
PATHOLOGY CONSULTANTS OF AUGUSTA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K DOVER M.D. (CEO)
(706) 731-5831
Entity
Organization
Contact information
Practice address
3540 WHEELER RD, SUITE 617, AUGUSTA, GA 30909-1871
(706) 731-5831
(706) 731-5831
Mailing address
3540 WHEELER RD, SUITE 617, AUGUSTA, GA 30909-1871
(706) 731-5831
(706) 731-5831
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2087298
CLIA
GA
Enumeration date
11/20/2014
Last updated
12/17/2014
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