Organization
HARDMAN PATHOLOGY ADX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN STEFANELLI (CHIEF OPERATING OFFICER)
(561) 626-5512
Entity
Organization
Contact information
Practice address
110 TRINITY PL, ATHENS, GA 30607-2118
(706) 546-4884
Mailing address
110 TRINITY PL, ATHENS, GA 30607-2118
(706) 546-4884
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
029-027
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
029-027
GA
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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