Organization
WASHINGTON PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN R SMITH III M.D. (PRESIDENT)
(252) 975-4187
Entity
Organization
Contact information
Practice address
628 E 12TH ST, BEAUFORT COUNTY HOSPITAL PATHOLOGY DEPARTMENT, WASHINGTON, NC 27889
(252) 975-4187
Mailing address
125 ISABELLA AVE, WASHINGTON, NC 27889-5231
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016NW
BCBS OF NC
NC
05
—
89106NW
—
NC
01
—
DC6477
RAILROAD MEDICARE
—
Enumeration date
05/24/2006
Last updated
10/11/2007
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