Organization
PROGRESSIVE PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT D. HALL MD (PRESIDENT)
(828) 262-5569
Entity
Organization
Contact information
Practice address
115 DOCTORS DR, BOONE, NC 28607-5017
(828) 262-5569
Mailing address
115 DOCTORS DR, BOONE, NC 28607-5017
(828) 262-5569
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001254
—
NC
Enumeration date
06/05/2006
Last updated
08/22/2020
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