Organization
WATAUGA PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RICHARD SOIKE MD (PRESIDENT)
(423) 431-6388
Entity
Organization
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6388
(423) 431-6331
Mailing address
PO BOX 52990, GREENWOOD, SC 29649-0048
(864) 223-3600
(864) 223-6054
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD0000020115
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000015437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3384912
—
TN
Enumeration date
02/21/2006
Last updated
02/18/2008
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