Organization
COLUMBUS PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN S CLEPPER MD (LABORATORY DIRECTOR)
(706) 653-1088
Entity
Organization
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 653-1088
(706) 653-1162
Mailing address
PO BOX 4176, COLUMBUS, GA 31914-0176
(706) 653-1088
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020281A
—
GA
05
—
529701800
—
AL
05
—
529911720
—
AL
05
—
529911730
—
AL
Enumeration date
11/25/2005
Last updated
07/21/2022
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