Organization
TRI-COUNTY PATHOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ERNEST FINGERLE M.D. (CHAIRMAN)
(770) 424-7800
Entity
Organization
Contact information
Practice address
833 CAMPBELL HILL ST NW, SUITE 111, MARIETTA, GA 30060-1134
(770) 424-7800
(770) 426-8572
Mailing address
PO BOX 60280, CHARLESTON, SC 29419-0280
(843) 569-4020
(770) 237-4980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
193400000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00061652A
—
GA
01
—
246800
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
07/21/2006
Last updated
07/28/2009
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