Organization
GREENEVILLE PATHOLOGY ASSOCIATES, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CARL THACKER M D (PRESIDENT)
(423) 639-5781
Entity
Organization
Contact information
Practice address
209 N COLLEGE ST, GREENEVILLE, TN 37745-5092
(423) 639-5781
(423) 639-2218
Mailing address
209 N COLLEGE ST, GREENEVILLE, TN 37745-5092
(423) 639-5781
(423) 639-2218
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00004219
TN
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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