Organization
PATHOLOGY CONSULTANTS OF GEORGIA
Active
Other names
PCG Molecular
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO MONCADA M.D. (CEO/OWNER)
(678) 601-6030
Entity
Organization
Contact information
Practice address
134 ANSLEY DRIVE, SUITE 500, DAHLONEGA, GA 30533-1614
(678) 601-6030
(678) 928-9760
Mailing address
134 ANSLEY DRIVE, SUITE 500, DAHLONEGA, GA 30533-1614
(678) 601-6030
(678) 928-9760
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
053337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390808920A
—
GA
01
—
P00046967
RAILROAD MEDICARE #
GA
Enumeration date
07/02/2006
Last updated
09/17/2014
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