Organization
SOUTH SUBURBAN PATHOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZOYA K ARBISER M.D. (PRESIDENT)
(770) 991-8615
Entity
Organization
Contact information
Practice address
141 MILSTEAD AVE NE, CONYERS, GA 30012
(678) 423-1550
(678) 423-1550
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(678) 423-1550
(678) 423-1550
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026912B
—
GA
Enumeration date
06/29/2006
Last updated
08/08/2018
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