Organization
PATHLINK OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO GONZALEZ MD (PRESIDENT)
(770) 991-8000
Entity
Organization
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 991-8000
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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