Organization
SPARTANBURG PATHOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID WRENN MD (PRESIDENT)
(864) 560-6217
Entity
Organization
Contact information
Practice address
106 VENTURE BLVD, SPARTANBURG, SC 29306-3805
(864) 560-6217
(864) 560-6335
Mailing address
PO BOX 52990, GREENWOOD, SC 29649-0048
(864) 223-3600
(864) 223-6054
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
21725
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0384
—
SC
Enumeration date
02/17/2006
Last updated
04/20/2008
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